Provider Demographics
NPI:1679710875
Name:CHRISTOUDIAS, STAVROS GEORGE (MD)
Entity Type:Individual
Prefix:DR
First Name:STAVROS
Middle Name:GEORGE
Last Name:CHRISTOUDIAS
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:741 TEANECK RD
Mailing Address - Street 2:SUITE B
Mailing Address - City:TEANECK
Mailing Address - State:NJ
Mailing Address - Zip Code:07666-4243
Mailing Address - Country:US
Mailing Address - Phone:201-833-2888
Mailing Address - Fax:201-833-1010
Practice Address - Street 1:741 TEANECK RD
Practice Address - Street 2:SUITE B
Practice Address - City:TEANECK
Practice Address - State:NJ
Practice Address - Zip Code:07666-4243
Practice Address - Country:US
Practice Address - Phone:201-833-2888
Practice Address - Fax:201-833-1010
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-11
Last Update Date:2013-06-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA08710300208600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208600000XAllopathic & Osteopathic PhysiciansSurgery