Mavroudis, Constantine D
Mavroudis, Constantine D is an individual health care provider with primary practice located at 3400 Spruce St 4 Maloney, Philadelphia PA 19104-4206. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Mavroudis, Constantine D can be contacted via phone (215) 662-6157.Contact Information
Primary practice address
3400 Spruce St 4 Maloney
Philadelphia PA 19104-4206
Phone: (215) 662-6157
Fax:
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MD453196 | Pennsylvania |
Profile Details
NPI number | 1316208218 |
---|---|
LBN Legal business name | Mavroudis, Constantine D |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jun 6th, 2012 |
Last updated | Jul 30th, 2021 - about 4 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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