Individual
EVANGELOS MEGARIOTIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1450 MAIN AVE, CLIFTON, NJ 07011-2145
(973) 340-8500
(973) 340-8690
Mailing address
1450 MAIN AVE, CLIFTON, NJ 07011-2145
(973) 340-8500
(973) 340-8690
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA03628500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1421506
—
NJ
Enumeration date
06/15/2005
Last updated
11/21/2011
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