Christakos, Manny E
Christakos, Manny E is an individual health care provider with primary practice located at 871 Allwood Rd , Clifton NJ 07012. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Christakos, Manny E can be contacted via phone (973) 779-2270.Contact Information
Primary practice address
871 Allwood Rd
Clifton NJ 07012
Phone: (973) 779-2270
Fax: (973) 779-5250
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | 25MA03765700 | New Jersey |
Profile Details
NPI number | 1255393740 |
---|---|
LBN Legal business name | Christakos, Manny E |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Apr 3rd, 2006 |
Last updated | Jul 8th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1255393740 | NPPES |
New Jersey | MEDICAID | 0764205 |
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