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Individual

DR. SIMON JOHN TSIOURIS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
947 LINWOOD AVE, SUITE 2E, RIDGEWOOD, NJ 07450-2939
(201) 447-6468
Mailing address
947 LINWOOD AVE, SUITE 2E, RIDGEWOOD, NJ 07450-2939
(201) 447-6468

Taxonomy

Speciality
Code
Description
License number
State
207RI0200X
Infectious Disease Physician
216282
NY
207RI0200X
Infectious Disease Physician
Primary
25MA09223900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
02587819
NY
Enumeration date
12/04/2006
Last updated
02/05/2013
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