Koufacos, Gregory M.

Koufacos, Gregory M. is an sole proprietor health care provider with primary practice located at 32 Rector Pl , Bloomfield NJ 07003-4031. He recently has only one registered license in Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder), which is considered as his primary health care specialty. Koufacos, Gregory M. can be contacted via phone (973) 615-4308.

Contact Information

Primary practice address
32 Rector Pl Bloomfield NJ 07003-4031
Phone: (973) 615-4308
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Behavioral Health & Social Service Providers / Addiction (Substance Use Disorder) 101YA0400X 37LC00165100 New Jersey

Profile Details

NPI number 1194028365
LBN Legal business name Koufacos, Gregory M.
Credentials M.A., LCADC
Entity Individual
Sole proprietor 1 Yes
Enumeration date Dec 10th, 2010
Last updated Dec 10th, 2010 - about 16 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.

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