Codoyannis, Aristides Basil
Codoyannis, Aristides Basil is an sole proprietor health care provider with primary practice located at 13 Glennon Farm Ln , Lebanon NJ 08833-4504. He recently has only one registered license in Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery), which is considered as his primary health care specialty. Codoyannis, Aristides Basil can be contacted via phone (973) 476-2039.Contact Information
Primary practice address
13 Glennon Farm Ln
Lebanon NJ 08833-4504
Phone: (973) 476-2039
Fax: (908) 325-6343
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Thoracic Surgery (Cardiothoracic Vascular Surgery) | 208G00000X | MA33916 | New Jersey |
Profile Details
| NPI number | 1871565077 |
|---|---|
| LBN Legal business name | Codoyannis, Aristides Basil |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Feb 2nd, 2006 |
| Last updated | Jul 5th, 2014 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1871565077 | NPPES |
| New Jersey | MEDICAID | 973009 |
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