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DR. KONSTANTINOS PETER KOULOGIANNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
100 MADISON AVE, MORRISTOWN, NJ 07960-6136
(973) 971-7416
(973) 401-2470
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
(844) 362-1735
(973) 290-7495

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
246122
NY
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08970400
NJ

Other

Enumeration date
09/14/2007
Last updated
01/05/2021
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