Coukos, George

Coukos, George is an individual health care provider with primary practice located at 3400 Civic Center Blvd 3 West, Philadelphia PA 19104-5127. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gynecologic Oncology, which is considered as his primary health care specialty. Coukos, George can be contacted via phone (215) 662-3318.

Contact Information

Primary practice address
3400 Civic Center Blvd 3 West Philadelphia PA 19104-5127
Fax:
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Gynecologic Oncology 207VX0201X MD060556L Pennsylvania

Profile Details

NPI number 1205867942
LBN Legal business name Coukos, George
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 5th, 2006
Last updated Dec 5th, 2013 - about 11 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 1205867942 NPPES
Pennsylvania MEDICAID 001778051

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