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Individual

DR. COSTAS A KAIAFAS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 790-6524
Mailing address
1 DIAMOND HILL RD, SUMMIT MEDICAL GROUP, BERKELEY HEIGHTS, NJ 07922-2104
(908) 273-4300
(908) 790-6524

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
MA68406
NJ
207Q00000X
Family Medicine Physician
25MA06840600
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8073902
NJ
Enumeration date
10/19/2005
Last updated
02/14/2018
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