Dr. Demetrios S Econopouly, DPM
Podiatrist, Foot & Ankle Surgery in North Bergen, NJ. Individual provider (NPI-1).
NPI number1144200445
StatusActive
Last updated in NPPESJan 18, 2017
Details
- NPI
- 1144200445
- Entity type
- Individual (NPI-1)
- Name
- Dr. Demetrios S Econopouly
- Credential
- DPM
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- Jan 20, 2006
- Last updated
- Jan 18, 2017
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 213ES0103X | Podiatrist, Foot & Ankle Surgery | 25MD00208800 | NJ | Yes |
Practice location
9226 Kennedy Blvd2nd Floor
North Bergen, NJ 07047-5312
Phone 201-863-5383 · Fax 201-863-5744
Mailing address
9226 Kennedy Blvd Fl 2North Bergen, NJ 07047-5312
Phone 201-863-5383 · Fax 201-863-5744
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All 11 Foot & Ankle Surgery Podiatrist providers in North Bergen · All 1,007 providers in North Bergen
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