Cousoulas, Ariadne P

Cousoulas, Ariadne P is an individual health care provider with primary practice located at 637 Route 23 Ste 300 , Pompton Plains NJ 07444-1419. She recently has only one registered license in Physician Assistants & Advanced Practice Nursing Providers / Medical, which is considered as her primary health care specialty. Cousoulas, Ariadne P can be contacted via phone (862) 666-9210.

Contact Information

Primary practice address
637 Route 23 Ste 300 Pompton Plains NJ 07444-1419
Phone: (862) 666-9210
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Physician Assistants & Advanced Practice Nursing Providers / Medical 363AM0700X 25MP00132000 New Jersey

Profile Details

NPI number 1215197058
LBN Legal business name Cousoulas, Ariadne P
Credentials Physician's Assistant Certified (PA-C)
Entity Individual
Sole proprietor 1 No
Enumeration date Jun 16th, 2008
Last updated Jan 29th, 2024 - about 11 months 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 1215197058 NPPES
New Jersey MEDICAID 0430595

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