Pavlou, Theophanis A
Pavlou, Theophanis A is an sole proprietor health care provider with primary practice located at 200 Grand Ave Suite 102, Englewood NJ 07631-4363. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pulmonary Disease, which is considered as his primary health care specialty. Pavlou, Theophanis A can be contacted via phone (201) 871-3636.Contact Information
Primary practice address
200 Grand Ave Suite 102
Englewood NJ 07631-4363
Phone: (201) 871-3636
Fax: (201) 871-2286
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Pulmonary Disease | 207RP1001X | MA59211 | New Jersey |
Profile Details
| NPI number | 1871552026 |
|---|---|
| LBN Legal business name | Pavlou, Theophanis A |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Mar 17th, 2006 |
| Last updated | Nov 7th, 2011 - about 14 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 | 1871552026 | NPPES |
| New Jersey | MEDICAID | 6341705 |
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