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NPI Code Detail

MEDICARE: ANDREAS POLYCHRONIS

MEDICARE: ANDREAS POLYCHRONIS
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
1390200000XStudent in an Organized Health Care Education/Training ProgramNJ

General Provider Information

NPI Number : 1366376626
Entity Type Code : Individual
Provider Name (Legal Business Name) : ANDREAS POLYCHRONIS
Provider Business Mailing Address
First Line : 170 GREENDELL RD
Second Line :
City : NEWTON
State : NJ
Zip : 07860
Country : US
Telephone Number : 908-391-4149
Fax Number :
Provider Business Practice Location Address
First Line : 2100 WESCOTT DR
Second Line :
City : FLEMINGTON
State : NJ
Zip : 08822-4604
Country : US
Telephone Number : 908-788-6100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/11/2026
Last Update Date : 06/11/2026

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Directions to “ ANDREAS POLYCHRONIS ” Practice Location

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