Individual
MR. EVANGELOS E ELEFTHERIOU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
2317 CENTER ISLAND ROUTE 22, UNION, NJ 07083
(201) 354-1951
(201) 354-1952
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(732) 726-0011
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
25MP00340000
NJ
363AM0700X
Medical Physician Assistant
Primary
25MP00340000
NJ
Other
Enumeration date
07/31/2014
Last updated
07/11/2022
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