Individual
IOANNIS KONTOPIDIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D
Contact information
Practice address
1 ROBERT WOOD JOHNSON PL, NEW BRUNSWICK, NJ 08901-1928
(732) 235-7806
Mailing address
626 W 165TH ST APT 31, NEW YORK, NY 10032-7927
(443) 743-7438
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
2453829
ZZ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA10872000
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/02/2012
Last updated
10/01/2020
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