| Doctor Name: | DR. ANDREW TZELLAS |
| NPI Number: | 1003996042 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | M.D |
| License Number: | 236059 |
| Business Practice Address: | 85 Lafayette Street Commuinity Health Center Inc New Britain, CT - 06051 |
| Business Phone Number: | 8602243642 |
| Business Fax Number: | 8602242760 |
| Mailing Address: | 85 Lafayette Street, Commuinity Health Center Inc NEW BRITAIN |
| State: | CT |
| Postal Code: | 06051 |
| Phone Number: | 8602243642 |
| Fax Number: | 8602242760 |
| NPI Enumeration Date: | 10/16/2006 |
| NPI Last Update Date: | 05/22/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QM1300X |
| License Number: | 236059 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NY |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Multi-Specialty |
| Taxonomy Definition: | |