Provider Demographics
NPI:1619501715
Name:LAURA ARMAS-KOLOSTROUBIS MD LLC
Entity Type:Organization
Organization Name:LAURA ARMAS-KOLOSTROUBIS MD LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:NOELIA
Authorized Official - Last Name:ARMAS-KOLOSTROUBIS
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:469-233-6408
Mailing Address - Street 1:3155 STATE ROUTE 10 STE 204
Mailing Address - Street 2:
Mailing Address - City:DENVILLE
Mailing Address - State:NJ
Mailing Address - Zip Code:07834-3430
Mailing Address - Country:US
Mailing Address - Phone:973-370-3130
Mailing Address - Fax:973-556-4086
Practice Address - Street 1:3155 STATE ROUTE 10 STE 204
Practice Address - Street 2:
Practice Address - City:DENVILLE
Practice Address - State:NJ
Practice Address - Zip Code:07834-3430
Practice Address - Country:US
Practice Address - Phone:973-370-3130
Practice Address - Fax:973-556-4086
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-02-27
Last Update Date:2022-05-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal MedicineGroup - Multi-Specialty
No207RI0200XAllopathic & Osteopathic PhysiciansInternal MedicineInfectious DiseaseGroup - Multi-Specialty
No2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatryGroup - Multi-Specialty
No363LF0000XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerFamilyGroup - Multi-Specialty
No363LP0808XPhysician Assistants & Advanced Practice Nursing ProvidersNurse PractitionerPsychiatric/Mental HealthGroup - Multi-Specialty