Organization
SPARTAN MEDICAL SERVICES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOHN KOUVARAS DO (MANAGING MEMBER)
(908) 407-7518
Entity
Organization
Contact information
Practice address
133 N KINDERKAMACK RD, MONTVALE, NJ 07645-1313
(201) 307-4810
Mailing address
411 PORTSIDE DR, EDGEWATER, NJ 07020-1165
(908) 407-7518
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/03/2021
Last updated
06/03/2021
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