NPI 1205966124

Constantinos Kintiroglou, MD

Practitioner Pediatric Adolescent Medicine Physician West Orange, NJ

Practice location

Address: 1500 Pleasant Valley Way STE 306, West Orange, NJ 07052-2956
Phone: (973) 243-0002
Fax: (973) 243-1227
Mailing address: 357 Walnut St, Livingston, NJ 07039-5011

Registered specialties

Pediatric Adolescent Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 2080A0000X Licence MA03124000 (NJ)

Other Pediatrics providers in New Jersey →

Registry record

NPI: 1205966124
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Mar 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.