1104048511 NPI number — ANTHONY EMMANUEL TRIGENIS MD

Table of content: ANTHONY EMMANUEL TRIGENIS MD (NPI 1104048511)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1104048511 NPI number — ANTHONY EMMANUEL TRIGENIS MD

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
Provider Last Name:
TRIGENIS
Provider First Name:
ANTHONY
Provider Middle Name:
EMMANUEL
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
MD
Provider Gender Code:
M

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1104048511
Entity Type Code:
Individual
Replacement NPI:
Last Update Date:
07/08/2007
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
PO BOX 510
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
NEW LONDON
Provider Business Mailing Address State Name:
CT
Provider Business Mailing Address Postal Code:
06320
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
Provider Business Mailing Address Fax Number:

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
2 KARAOLI ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
ANIXIS
Provider Business Practice Location Address State Name:
ATTIKIS
Provider Business Practice Location Address Postal Code:
14569
Provider Business Practice Location Address Country Code:
GR
Provider Business Practice Location Address Telephone Number:
011302106219023
Provider Business Practice Location Address Fax Number:
011302106219023
Provider Enumeration Date:
05/03/2007

Additional Information

Authorized Official

Authorized Official Last Name:
Authorized Official First Name:
Authorized Official Middle Name:
Authorized Official Title or Position:
Authorized Official Telephone Number:

Provider Taxonomy Codes

  • Taxonomy code: 207R00000X , with the licence number:  025232 , registered in the state of CT ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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