Individual
ANGELA EFTYCHIADIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
1 MALCOLM AVE, TETERBORO, NJ 07608-1011
(201) 393-5443
(201) 462-4199
Mailing address
456 PASSAIC AVE, NUTLEY, NJ 07110-1752
(201) 393-5443
(201) 462-4199
Taxonomy
Speciality
Code
Description
License number
State
207NI0002X
Clinical & Laboratory Dermatological Immunology Physician
25MA06383000
NJ
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA06383000
NJ
Other
Enumeration date
12/23/2008
Last updated
03/13/2009
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