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Organization

CHARLES TSAKRIOS JR. M.D PA

Active
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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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