Individual
DR. LAUREN S KONIARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
75 SUMMIT AVE, HACKENSACK, NJ 07601
(201) 487-4595
Mailing address
75 SUMMIT AVE, HACKENSACK, NJ 07601
(201) 487-4595
(201) 487-0641
Taxonomy
Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA06733400
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10660239
CAQH
—
05
—
8575801
—
NJ
Enumeration date
04/05/2006
Last updated
02/24/2010
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