Individual
CHRISTOPHER S KURIAKOSE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-4466
Mailing address
4 CONCORD WAY, MORRIS PLAINS, NJ 07950-1270
(973) 980-5041
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA10930800
NJ
390200000X
Student in an Organized Health Care Education/Training Program
00000000000000000000
—
Other
Enumeration date
03/30/2017
Last updated
09/22/2020
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