Mastrokyriakos, Paul
Mastrokyriakos, Paul is an individual health care provider with primary practice located at 99 Beauvoir Ave , Summit NJ 07901-3533. He recently has only one registered license in Allopathic & Osteopathic Physicians / Emergency Medicine, which is considered as his primary health care specialty. Mastrokyriakos, Paul can be contacted via phone (908) 522-2232.Contact Information
Primary practice address
99 Beauvoir Ave
Summit NJ 07901-3533
Phone: (908) 522-2232
Fax: (908) 522-0227
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | MB55379 | New Jersey |
| Allopathic & Osteopathic Physicians / Emergency Medicine | 207P00000X | 25MB0553790 | New Jersey |
Profile Details
| NPI number | 1669401519 |
|---|---|
| LBN Legal business name | Mastrokyriakos, Paul |
| Credentials | Doctor of Osteopathy (DO) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 2nd, 2006 |
| Last updated | May 27th, 2015 - about 10 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1669401519 | NPPES |
| New Jersey | MEDICAID | 2287404 |
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