Individual
PAUL R KOUYOUMDJI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
4 BY PASS RD, SUITE 101, SALEM, NJ 08079-2053
(856) 935-3582
(856) 935-4382
Mailing address
PO BOX 504290, SAINT LOUIS, MO 63150-0001
(856) 935-3582
(856) 935-4382
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MA64453
NJ
Other
Enumeration date
07/20/2005
Last updated
11/19/2007
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