Individual
JOHN KOUVARAS
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
175 HIGH ST, NEWTON, NJ 07860-1004
(973) 383-2121
Mailing address
PO BOX 119, CLIFFSIDE PARK, NJ 07010-0119
(800) 624-0792
(201) 943-8105
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MB07754400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB07754400
LICENSE
NJ
Enumeration date
06/18/2006
Last updated
07/08/2007
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