Costomiris, Robert Peter

Costomiris, Robert Peter is an sole proprietor health care provider with primary practice located at 331 Grand St , Hoboken NJ 07030-2719. He recently has only one registered license in Allopathic & Osteopathic Physicians / Cardiovascular Disease, which is considered as his primary health care specialty. Costomiris, Robert Peter can be contacted via phone (201) 659-0942.

Contact Information

Primary practice address
331 Grand St Hoboken NJ 07030-2719
Fax: (201) 659-1483
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Cardiovascular Disease 207RC0000X 25MA03467100 New Jersey

Profile Details

NPI number 1649382540
LBN Legal business name Costomiris, Robert Peter
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 31st, 2006
Last updated Jul 8th, 2007 - about 18 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1649382540 NPPES
New Jersey MEDICAID 1644203

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