Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207X00000X | Orthopaedic Surgeon | 25MA08212300 | NJ |
N | 207XS0106X | Orthopaedic Hand Surgeon | 25MA08212300 | NJ |
NPI | 1235295239 |
---|---|
Provider Name | Christopher Doumas |
First Address | Somerset, NJ 08873-1369 |
Second Address | Wall Township, NJ 07753-6952 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 28/12/2006 |
Last Update Date | 15/06/2020 |