Individual
DR. STAVROPOULA IOANNIS TJOUMAKARIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
909 WALNUT STREET, 2RD FLOOR, JEFFERSON NEUROSURGICAL ASSOCIATES, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
25MA08528700
NJ
207T00000X
Neurological Surgery Physician
Primary
MD434545
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0200336
—
NJ
05
—
1023224090001
—
PA
Enumeration date
05/18/2007
Last updated
05/22/2014
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