Individual
POLYDOROS KAMPAKTSIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVE, HACKENSACK, NJ 07601-1915
(551) 996-3880
Mailing address
331 NEWMAN SPRINGS RD, RED BANK, NJ 07701-5688
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
292110
NY
207RC0000X
Cardiovascular Disease Physician
Primary
25MA12002800
NJ
207RC0000X
Cardiovascular Disease Physician
292110
NY
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
07/03/2013
Last updated
09/25/2024
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