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Konstantinos Paleoudis

Specialist/Technologist, Athletic Trainer in Paramus, NJ. Individual provider (NPI-1).

NPI number1891155933
StatusActive
Last updated in NPPESMar 2, 2016

Details

NPI
1891155933
Entity type
Individual (NPI-1)
Name
Mr. Konstantinos Paleoudis
Sex
Male
Sole proprietor
Yes
Enumeration date
Mar 2, 2016
Last updated
Mar 2, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
2255A2300X Specialist/Technologist, Athletic Trainer25mt00102200NJYes

Practice location

115 W Ridgewood Ave
Paramus, NJ 07652-2205

Phone 201-599-4178

Mailing address

115 W Ridgewood Ave
Paramus, NJ 07652-2205

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