Elaine Tina Koukoulas M.D.

NPI 1063505055 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1063505055
Gender Female
Enumeration Date 10/02/2006
Last Updated 08/18/2014
Entity Type Individual
Active Over 10 years ago
Practice Location
6535 N CHARLES ST
SUITE 300
TOWSON MD, 21204-5826, US
Phone (410) 938-5252
Fax (410) 928-5250
Business Location
6535 N CHARLES ST
TOWSON MD, 21204-5826, US
Phone (410) 938-5252
Fax (410) 938-5250
Toxanomy
Taxonomy Code 2084P0800X
License State Maryland
License Number D0059124
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According to our database, Elaine Tina Koukoulas M.D. NPI is 1063505055, taxonomy code is 2084P0800X and license number is D0059124, license state is located at Maryland. Elaine Tina Koukoulas M.D. physically located at 6535 N Charles St, Towson MD, 21204-5826. NPI Number Elaine Tina Koukoulas M.D. has the Individual type.

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1063505055 NPI number is provided on an as is basis without warranty of any kind. 1063505055 is maintained by the National Plan & Provider Enumeration System. The contents of Elaine Tina Koukoulas M.D. are for informational purposes only.