Individual
DR. ARISTIDES BASIL CODOYANNIS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
13 GLENNON FARM LN, LEBANON, NJ 08833-4504
(973) 476-2039
(908) 325-6343
Mailing address
13 GLENNON FARM LN, LEBANON, NJ 08833-4504
(973) 476-2039
(908) 325-6343
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
MA33916
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
973009
—
NJ
Enumeration date
02/02/2006
Last updated
07/05/2014
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