Individual
JOHN KOULOS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.,
Contact information
Practice address
10 UNION SQ E, NEW YORK, NY 10003-3314
(212) 256-3539
Mailing address
PO BOX 95000-2428, PHILADELPHIA, PA 19195-2428
(212) 256-3539
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
174018
NY
Other
Enumeration date
07/14/2006
Last updated
06/10/2014
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