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Individual

PAUL MASTROKYRIAKOS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DO

Contact information

Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-2232
(908) 522-0227
Mailing address
307 S EVERGREEN AVE, WOODBURY, NJ 08096-2739
(856) 686-4300

Taxonomy

Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB0553790
NJ
207P00000X
Emergency Medicine Physician
MB55379
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
2287404
NJ
Enumeration date
07/02/2006
Last updated
05/27/2015
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