Individual
FRED A KOBYLARZ
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD, MPH
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
25MA0628900
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
Primary
25MA0628900
NJ
207QG0300X
Geriatric Medicine (Family Medicine) Physician
29924
IA
207QG0300X
Geriatric Medicine (Family Medicine) Physician
ME90906
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6933904
—
NJ
Enumeration date
09/02/2006
Last updated
04/23/2024
Update your record
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