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Contact Information

KOSTANTINOS P POULIKIDIS, MD
80 JAMES ST
EDISON, NJ08820-3938
 Phone: 732-635-9300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Thoracic Surgery (Cardiothoracic Vascular Surgery)

208G00000X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for KOSTANTINOS P POULIKIDIS · (Male)

NPI Number 1689018830
Status Active
Credentials MD
Entity Individual
Enumeration date 04/18/2013
Last updated 01/22/2026 - About 4 months ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA11659600
Hospital affiliation(s)
  • DANBURY HOSPITAL - (Acute Care)
    24 HOSPITAL AVE
    DANBURY, CT 06810
  • NORWALK HOSPITAL ASSOCIATION - (Acute Care)
    24 STEVENS STREET
    NORWALK, CT 06856
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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