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General NPI Number Information
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NPI Number | 1437293453
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Entity Type | Individual
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Provider Name | MICHAEL CHRISSOHERIS M.D.
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Gender | Male
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Dates
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Enumeration Date | 02/16/2007
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Last Update Date | 03/07/2023
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Provider Practice Location Address
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Address Line | 1450 CHAPEL ST HSR SECTION OF CARDIOLOGY PRIVATE 207
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City | NEW HAVEN
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State | CT
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Zip | 06511-4405
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Country | US
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Telephone | 203-789-6045
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Fax | 203-789-6046
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Provider Business Mailing Address
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Address Line | 1450 CHAPEL ST HSR SECTION OF CARDIOLOGY PRIVATE 207
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City | NEW HAVEN
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State | CT
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Zip | 06511-4405
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Country | US
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Telephone | 203-789-6045
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Fax | 203-789-6046
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Authorized Official
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Title or Position |
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Name |
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Credential |
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Telephone |
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 208M00000X
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Taxonomy Name | Hospitalist Physician
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License Number | 040718
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License Number State | CT
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Taxonomy #2
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Taxonomy Code | 207RI0011X
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Taxonomy Name | Interventional Cardiology Physician
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License Number | 040718
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License Number State | CT
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