Pantagis, Stefanos

Pantagis, Stefanos is an individual health care provider with primary practice located at 810 Main St , Hackensack NJ 07601-4847. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Geriatric Medicine. Allopathic & Osteopathic Physicians / Geriatric Medicine is his primary health care specialty. Pantagis, Stefanos can be contacted via phone (201) 633-7375.

Contact Information

Primary practice address
810 Main St Hackensack NJ 07601-4847
Phone: (201) 633-7375
Fax: (201) 633-7361
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X MA64903 New Jersey
Allopathic & Osteopathic Physicians / Geriatric Medicine 207QG0300X MA64903 New Jersey

Profile Details

NPI number 1235212879
LBN Legal business name Pantagis, Stefanos
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 24th, 2006
Last updated Feb 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235212879 NPPES
New Jersey MEDICAID 6818706

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