Healthcare Provider Details

I. General information

NPI: 1376958512
Provider Name (Legal Business Name): ANDREAS FILIPPAIOS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 06/26/2014
Last Update Date: 08/31/2026
Certification Date: 08/31/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4 ELLIOT WAY FL 1
MANCHESTER NH
03103-3547
US

IV. Provider business mailing address

4 ELLIOT WAY FL 1
MANCHESTER NH
03103-3547
US

V. Phone/Fax

Practice location:
  • Phone: 603-627-1669
  • Fax:
Mailing address:
  • Phone: 603-627-1669
  • Fax: 603-624-2297

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number39944
License Number StateNH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: