Spiros Mitsopoulos, Md, Pllc | |
445 Cypress St Unit 9 Manchester NH 03103-3600 | |
(603) 663-8230 | |
(603) 663-8239 |
Full Name | Spiros Mitsopoulos, Md, Pllc |
---|---|
Speciality | Internal Medicine |
Location | 445 Cypress St, Manchester, New Hampshire |
Authorized Official Name and Position | Spiros Mitsopoulos (PHYSICIAN OWNER) |
Authorized Official Contact | 6036638230 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
---|---|
Spiros Mitsopoulos, Md, Pllc 445 Cypress St Unit 9 Manchester NH 03103-3600 Ph: (603) 663-8230 | Spiros Mitsopoulos, Md, Pllc 445 Cypress St Unit 9 Manchester NH 03103-3600 Ph: (603) 663-8230 |
NPI Number | 1891130845 |
---|---|
Provider Enumeration Date | 05/03/2013 |
Last Update Date | 09/24/2014 |
Medicare PECOS PAC ID | 2163665589 |
---|---|
Medicare Enrollment ID | O20130903000626 |
Identifier | Type | State | Issuer |
---|---|---|---|
1891130845 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | 7454 (New Hampshire) | Primary |
Provider Name | Spiros Mitsopoulos |
---|---|
Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1720034390 PECOS PAC ID: 8022069467 Enrollment ID: I20050203000107 |
Healthways Family Practice Llc Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 59 Sheffield Rd, Manchester, NH 03103 Phone: 603-606-7020 Fax: 603-622-4102 |