Individual
MR. ELIAS DEMETRIOS POULOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-S
Contact information
Practice address
1945 MARLTON PIKE E STE D, CHERRY HILL, NJ 08003-2160
(856) 237-8045
(856) 237-8047
Mailing address
301 LIPPINCOTT DR STE 410, MARLTON, NJ 08053-4197
(856) 355-0340
(856) 355-0330
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00532700
NJ
Other
Enumeration date
10/23/2017
Last updated
10/09/2024
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