Organization
EDGAR KOGANMD PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROBERT KOGAN MD (OWNER)
(908) 354-1045
Entity
Organization
Contact information
Practice address
700 N BROAD ST, #103, ELIZABETH, NJ 07208-2310
(908) 354-1045
(908) 354-0930
Mailing address
700 N BROAD ST STE 103, ELIZABETH, NJ 07208-2310
(908) 354-1045
(908) 354-0930
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
—
—
Other
Enumeration date
11/11/2010
Last updated
11/11/2010
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