Koliopoulos, John S.

Koliopoulos, John S. is an sole proprietor health care provider with primary practice located at 1 Diamond Hill Rd , Berkeley Heights NJ 07922-2104. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Koliopoulos, John S. can be contacted via phone (908) 277-8880.

Contact Information

Primary practice address
1 Diamond Hill Rd Berkeley Heights NJ 07922-2104
Phone: (908) 277-8880
Fax: (908) 277-8796
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X MB60014 New Jersey
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MB06001400 New Jersey

Profile Details

NPI number 1053353516
LBN Legal business name Koliopoulos, John S.
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jun 11th, 2006
Last updated Oct 1st, 2021 - about 3 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 1053353516 NPPES
New Jersey Other 223586664 TRICARE/CHAMPUS
New Jersey Other 223586664 TRICARE/CHAMPUS
New Jersey MEDICAID 6880908 TRICARE/CHAMPUS

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