Doctor Name: | DR. GEORGE TSIROGIANNIS |
NPI Number: | 1215140017 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DPM |
License Number: | 25MD00297000 |
Business Practice Address: | 1265 Paterson Plank Rd Suite 3c Secaucus, NJ - 070943242 |
Business Phone Number: | 2018755310 |
Business Fax Number: | 2014302422 |
Mailing Address: | 821 6th St, SECAUCUS |
State: | NJ |
Postal Code: | 070943311 |
Phone Number: | 2017360889 |
Fax Number: | 2014302422 |
NPI Enumeration Date: | 05/08/2007 |
NPI Last Update Date: | 04/07/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0103X |
License Number: | 25MD00297000 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot & Ankle Surgery |
Taxonomy Definition: |