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Individual

DR. KONSTANTINOS PETER KOULOGIANNIS

Active
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Individual

DR. KONSTANTINOS PETER KOULOGIANNIS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

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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