Individual
GEORGE COUKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3400 CIVIC CENTER BLVD, 3 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-3318
Mailing address
3400 CIVIC CENTER BLVD, 3 WEST, PHILADELPHIA, PA 19104-5127
(215) 662-3318
Taxonomy
Speciality
Code
Description
License number
State
207VX0201X
Gynecologic Oncology Physician
Primary
MD060556L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
001778051
—
PA
Enumeration date
07/05/2006
Last updated
12/05/2013
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