Provider Demographics
NPI:1295745966
Name:TSIOTSIAS, GEROGE (DO)
Entity type:Individual
Prefix:
First Name:GEROGE
Middle Name:
Last Name:TSIOTSIAS
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3 COOPER PLZ
Mailing Address - Street 2:SUITE 502
Mailing Address - City:CAMDEN
Mailing Address - State:NJ
Mailing Address - Zip Code:08103-1438
Mailing Address - Country:US
Mailing Address - Phone:856-968-7433
Mailing Address - Fax:856-968-8499
Practice Address - Street 1:1 COOPER PLZ
Practice Address - Street 2:COOPER UNIVERISTY TRAUMA PHYSICIANS
Practice Address - City:CAMDEN
Practice Address - State:NJ
Practice Address - Zip Code:08103-1461
Practice Address - Country:US
Practice Address - Phone:856-342-3014
Practice Address - Fax:856-342-2817
Is Sole Proprietor?:No
Enumeration Date:2006-08-08
Last Update Date:2024-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOS0161852086S0127X
NJMB0811832086S0127X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2086S0127XAllopathic & Osteopathic PhysiciansSurgeryTrauma Surgery
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ0114073Medicaid
NJ60027894OtherHORIZON NJ HEALTH
NJ01007800200OtherAMERICHOICE
NJ3K6046OtherHEALTHNET
NJP3723039OtherOXFORD
NJ2790059000OtherAMERIHEALTH/KEYSTONE/IBC
NJ3K7585OtherHEALTHNET
NJ7776408OtherCIGNA
NJ1378702OtherAETNA
NJ3K6046OtherHEALTHNET
NJ3K7585OtherHEALTHNET