Organization
SURGICAL ONCOLOGY LAPAROSCOPY,PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. GEORGE CHRISTOS CHRISTOUDIAS M.D. (PRESIDENT)
(201) 833-2888
Entity
Organization
Contact information
Practice address
741 TEANECK RD, TEANECK, NJ 07666-4243
(201) 833-2888
(201) 833-1010
Mailing address
741 TEANECK RD, TEANECK, NJ 07666-4243
(201) 833-2888
(201) 833-1010
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
25MA03319000
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
460722
PTAN
NJ
Enumeration date
02/02/2010
Last updated
02/16/2010
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