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NPI Code Detail

MEDICARE: DR. VERONICA CONCEPCION CODOYANNIS MD

MEDICARE:  DR. VERONICA CONCEPCION CODOYANNIS  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
1208000000XPediatrics Physician25MA03554600NJ

General Provider Information

NPI Number : 1497070775
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. VERONICA CONCEPCION CODOYANNIS MD
Provider Business Mailing Address
First Line : 13 GLENNON FARM LANE
Second Line :
City : LEBANON
State : NJ
Zip : 08833
Country : US
Telephone Number : 908-832-5095
Fax Number : 908-832-7034
Provider Business Practice Location Address
First Line : 13 GLENNON FARM LN
Second Line :
City : LEBANON
State : NJ
Zip : 08833-4504
Country : US
Telephone Number : 908-832-5095
Fax Number : 908-832-7034
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2010
Last Update Date : 03/30/2010

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Directions to “ DR. VERONICA CONCEPCION CODOYANNIS MD” Practice Location

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