Doctor Name: | DR. SOPHIA GIGOS-COSTEAS |
NPI Number: | 1013977651 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | M.D. |
License Number: | MA65126 |
Business Practice Address: | 1140 Bloomfield Ave Suite 213 West Caldwell, NJ - 070067130 |
Business Phone Number: | 9732286302 |
Business Fax Number: | 9732286305 |
Mailing Address: | 1140 Bloomfield Ave, Suite 213 WEST CALDWELL |
State: | NJ |
Postal Code: | 070067130 |
Phone Number: | 9732286302 |
Fax Number: | 9732286305 |
NPI Enumeration Date: | 03/27/2006 |
NPI Last Update Date: | 01/29/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2080A0000X |
License Number: | MA65126 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Pediatrics |
Taxonomy Specialization: | Adolescent Medicine |
Taxonomy Definition: | A pediatrician who specializes in adolescent medicine is a multi-disciplinary healthcare specialist trained in the unique physical, psychological and social characteristics of adolescents, their healthcare problems and needs. |