Individual
DR. GREGORIS KOMODIKIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MB BS
Contact information
Practice address
909 WALNUT ST, 2ND FLOOR, PHILADELPHIA, PA 19107-5211
(215) 955-7000
(215) 503-7007
Mailing address
1 RICHMOND ST, #3069, NEW BRUNSWICK, NJ 08901-4100
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD455231
PA
390200000X
Student in an Organized Health Care Education/Training Program
—
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Other
Enumeration date
07/04/2012
Last updated
09/11/2015
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