Individual
CONSTANTINE G TSILIKOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
205 RIDGEDALE AVE STE 200, FLORHAM PARK, NJ 07932-1349
(855) 202-7939
Mailing address
50 SPLIT ROCK RD, BOONTON, NJ 07005-9546
(973) 229-9326
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
Primary
37AC00775100
NJ
Other
Enumeration date
06/03/2024
Last updated
06/03/2024
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