Organization
CHARLES TSAKRIOS JR. M.D PA
Active
Parent organization
CHARLES TSAKRIOS JR. M.D PA
Organization subpart
Yes
Provider details
NPI number
Legal business name
CHARLES TSAKRIOS JR. M.D PA
Authorized official
DR. CHARLES TSAKRIOS JR. M.D. (PRESIDENT)
(201) 445-1991
Entity
Organization
Contact information
Practice address
89 N MAPLE AVE, RIDGEWOOD, NJ 07450-3235
(201) 445-1991
(201) 445-4827
Mailing address
89 N MAPLE AVE, RIDGEWOOD, NJ 07450-3235
(201) 445-1991
(201) 445-4827
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA41737
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3295206
—
NJ
01
—
469537XQ8
MEDICARE RENDERING PIN
NJ
Enumeration date
10/04/2006
Last updated
03/11/2008
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