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Individual

MANNY E CHRISTAKOS

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
871 ALLWOOD RD, CLIFTON, NJ 07012
(973) 779-2270
(973) 779-5250
Mailing address
871 ALLWOOD RD, CLIFTON, NJ 07012
(973) 779-2270
(973) 779-5250

Taxonomy

Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA03765700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0764205
NJ
Enumeration date
04/03/2006
Last updated
07/08/2007
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