New Jersey Keystone Physicians,pa
NPI #1215123732 in Ridgewood, New Jersey
Provider Information
- NPI Number
- 1215123732
- Entity Type
- Organization
- Organization Name
- New Jersey Keystone Physicians,pa
- Primary Specialty
- Family Medicine
- Enumeration Date
- Sep 18, 2007
- Last Updated
- May 28, 2013
Practice Location
- Address
- 1200 E RIDGEWOOD AVE
- Address 2
- WEST WING, SECOND FLOOR
- City
- Ridgewood
- State
- New Jersey
- ZIP Code
- 07450-3957
- Phone
- (201) 447-3690
Authorized Official
- Name
- DR. NICHOLAS DEMETRIOS PANAGIOTOU, M.D.
- Title
- MEDICAL DIRECTOR
- Phone
- (201) 447-3690
Specialties & Taxonomy Codes
| Specialty |
|---|
| Family Medicine |
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