Individual
DR. VIVIAN AKRIVE KOMINOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
901 W MAIN ST STE 205, CN5050, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 866-0018
Mailing address
901 W MAIN ST STE 205, CN 5050, FREEHOLD, NJ 07728-2537
(732) 866-0800
(732) 866-0018
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA46965
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0037042
GHI PPO
NJ
01
—
0043373
AETNA HMO
NJ
01
—
060058972
RR MEDICARE
—
01
—
1049711
HORIZON NJ HEALTH
NJ
01
—
4093924
AETNA PPO
NJ
01
—
F07150
HEALTHNET
—
01
—
MS068
OXFORD
—
Enumeration date
06/13/2005
Last updated
05/29/2011
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