Individual
CHRISTOS A. KOUTENTIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 779-7361
(973) 779-7385
Mailing address
PO BOX 1258, CLIFTON, NJ 07012-0758
(973) 779-7361
(973) 779-7385
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA08011500
NJ
207L00000X
Anesthesiology Physician
ME92701
FL
Other
Enumeration date
03/10/2006
Last updated
07/08/2007
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