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NPI Code Detail

MEDICARE: DR. JAMES P CHRISTODOULOU MD

MEDICARE: DR. JAMES P CHRISTODOULOU MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207RC0000XCardiovascular Disease Physician099508NY

General Provider Information

NPI Number : 1265592653
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. JAMES P CHRISTODOULOU MD
Provider Business Mailing Address
First Line : 625 PARK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-7326
Country : US
Telephone Number : 212-744-1118
Fax Number : 212-744-1119
Provider Business Practice Location Address
First Line : 625 PARK AVE
Second Line :
City : NEW YORK
State : NY
Zip : 10065-7326
Country : US
Telephone Number : 212-744-1118
Fax Number : 212-744-1119
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/08/2006
Last Update Date : 07/14/2010

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