Provider Demographics
NPI:1346561818
Name:PHILOPOS, JOHN M V
Entity Type:Individual
Prefix:DR
First Name:JOHN
Middle Name:M
Last Name:PHILOPOS
Suffix:V
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1562 CENTER AVE APT E2
Mailing Address - Street 2:
Mailing Address - City:FORT LEE
Mailing Address - State:NJ
Mailing Address - Zip Code:07024-4617
Mailing Address - Country:US
Mailing Address - Phone:201-233-4763
Mailing Address - Fax:
Practice Address - Street 1:224 E RTE 4
Practice Address - Street 2:
Practice Address - City:PARAMUS
Practice Address - State:NJ
Practice Address - Zip Code:07652-5119
Practice Address - Country:US
Practice Address - Phone:201-291-4190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-18
Last Update Date:2010-06-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY053334-1183500000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes183500000XPharmacy Service ProvidersPharmacist