Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 208200000X | Surgeon | 25MA01937700 | NJ |
Y | 208600000X | Surgeon | 25MA01937700 | NJ |
N | 208G00000X | Cardiothoracic Vascular Surgeon | 25MA01937700 | NJ |
NPI | 1992994651 |
---|---|
Provider Name | Dr. Elias Nicholas Tsoukas |
First Address | Saddle River, NJ 07458-2801 |
Second Address | Saddle River, NJ 07458-2801 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/10/2007 |
Last Update Date | 18/10/2007 |