Active NPIIndividual providerSole proprietor

Dr. Dimitrios J Fotiadis, MD PYSICIAN SURGEON

Surgery in Clifton, New Jersey

NPI Number1336314889
Practice location
337 Grove Str, Clifton, NJ 07013
Fax
973-778-6433
Last updated
April 25, 2008

Dimitrios John Fotiadis is a Surgery based in Clifton, NJ. Dimitrios John Fotiadis practices in Clifton, NJ and has the professional credentials of MD PYSICIAN SURGEON. The NPI Number for Dimitrios John Fotiadis is 1336314889 and holds a License No. 25MA01891100 (NJ). The current practice location address for Dimitrios John Fotiadis is 337 Grove Str, Clifton, NJ 07013 and can be reached out via phone at 973-779-3787 and via fax at 973-778-6433.

Provider Profile Details

NPI Number
1336314889
Provider Name
Dimitrios John Fotiadis
Credential
MD PYSICIAN SURGEON
Provider Entity Type
Individual
Gender
Male
Address
337 Grove Str, Clifton, NJ 07013
Phone Number
973-779-3787
Fax Number
973-778-6433
Primary Taxonomy
Surgery · 208600000X
Sole Proprietor
Yes
Provider Enumeration Date
April 25, 2008
Last Update Date
April 25, 2008
NPI Status
Active

Provider Business Practice Location Address Details

Address
337 Grove Str
Clifton, NJ 07013
Zip
07013
Phone Number
973-779-3787
Fax Number
973-778-6433
Clifton, NJ 07013Get directions →

Provider Business Mailing Address Details

Address
337 Grove Str
Clifton, NJ 07013
City
Clifton
State
NJ
Zip
07013
Fax Number
973-778-6433

License Information

License Number (1)
25MA01891100
License State (1)
NJ
Taxonomy (1)
Surgery · 208600000X · Primary
License Number (2)
25MA01891100
License State (2)
NJ
Taxonomy (2)
· 2086S0129X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Dimitrios J Fotiadis, MD PYSICIAN SURGEON?

The NPI number of Dr. Dimitrios J Fotiadis, MD PYSICIAN SURGEON is 1336314889. It was assigned on April 25, 2008 and is currently active in the NPPES registry.

What is the specialty of Dr. Dimitrios J Fotiadis, MD PYSICIAN SURGEON?

Dr. Dimitrios J Fotiadis, MD PYSICIAN SURGEON is registered under the primary taxonomy Surgery (code 208600000X), licensed in NJ under license number 25MA01891100.

Where does Dr. Dimitrios J Fotiadis, MD PYSICIAN SURGEON practice?

The practice location is 337 Grove Str, Clifton, NJ 07013. The office can be reached at 973-779-3787 (phone) or 973-778-6433 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1336314889 directly on the NPPES registry website.

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