Individual
DR. CHARLES TSAKRIOS JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
89 N MAPLE AVE, 3RD FLOOR, RIDGEWOOD, NJ 07450-3235
(201) 445-1991
(201) 445-4827
Mailing address
89 N MAPLE AVE, 3RD FLOOR, RIDGEWOOD, NJ 07450-3235
(201) 445-1991
(201) 445-4827
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
MA41737
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3295206
—
NJ
01
—
469537XQ8
MEDICARE RENDERING PIN
NJ
Enumeration date
10/03/2006
Last updated
03/11/2008
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