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NPI Code Detail

MEDICARE: DR. THOMAS G TAKOUDES M.D.

MEDICARE:  DR. THOMAS G TAKOUDES  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207Y00000XOtolaryngology Physician040184CT

General Provider Information

NPI Number : 1205949369
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. THOMAS G TAKOUDES M.D.
Provider Business Mailing Address
First Line : 31 BROADWAY
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-2304
Country : US
Telephone Number : 203-234-1324
Fax Number : 203-239-3047
Provider Business Practice Location Address
First Line : 31 BROADWAY
Second Line :
City : NORTH HAVEN
State : CT
Zip : 06473-2304
Country : US
Telephone Number : 203-234-1324
Fax Number : 203-239-3047
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/15/2006
Last Update Date : 07/08/2007

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Directions to “ DR. THOMAS G TAKOUDES M.D.” Practice Location

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