# MICHAEL E. KOSTELNIK, MD PA

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1508049115
- **Authorized official:** MICHAEL E KOSTELNIK M.D. (OWNER)
- **Authorized official phone:** (973) 584-1405

## Contact information

- **Practice address:** 52 MAIN ST, UNIT ONE, SUCCASUNNA, NJ 07876-1462
- **Practice address phone:** (973) 584-1405
- **Practice address fax:** (973) 584-6889
- **Mailing address:** 52 MAIN ST, UNIT ONE, SUCCASUNNA, NJ 07876-1462
- **Mailing address phone:** (973) 584-1405
- **Mailing address fax:** (973) 584-6889

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | 25MA26309 | NJ | Yes |

## Other

- **Enumeration date:** 12/06/2007
- **Last updated:** 12/06/2007