MICHAEL PHILIP PHYTIDES

LINDEN, NJ
NPI1437662780
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy363A00000X Physician Assistant
(Licence: NY  021519-1)
Enumeration Date2017-11-08
Last Update Date2019-12-11
Business Address
MICHAEL PHILIP PHYTIDES
328 W SAINT GEORGES AVE
LINDEN, NJ 07036-5638
Phone number: 908-925-7519
Mailing Address
MICHAEL PHILIP PHYTIDES
130 FIGUREA AVE
STATEN ISLAND, NY 10312-3239
Phone number: 718-984-1806