Kotopoulos, Nicholas

Kotopoulos, Nicholas is an individual health care provider with primary practice located at 40 Engle St , Englewood NJ 07631-2905. He recently has only one registered license in Allopathic & Osteopathic Physicians / Obstetrics & Gynecology, which is considered as his primary health care specialty. Kotopoulos, Nicholas can be contacted via phone (201) 568-0522.

Contact Information

Primary practice address
40 Engle St Englewood NJ 07631-2905
Phone: (201) 568-0522
Fax: (201) 567-5955
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Obstetrics & Gynecology 207V00000X 25MA03676200 New Jersey

Profile Details

NPI number 1023140100
LBN Legal business name Kotopoulos, Nicholas
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 12th, 2007
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 1023140100 NPPES
New Jersey MEDICAID 0962708

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