Organization
PANDE V. JOSIFOSKI, M.D., L.L.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. MARIA PALACIOS (MEDICAL ASSISTANT)
(973) 748-0678
Entity
Organization
Contact information
Practice address
123 HIGHLAND AVE, SUITE 203, GLEN RIDGE, NJ 07028-1527
(973) 748-0678
(973) 748-2808
Mailing address
123 HIGHLAND AVE, SUITE 203, GLEN RIDGE, NJ 07028-1527
(973) 748-0678
(973) 748-2808
Taxonomy
Speciality
Code
Description
License number
State
261QP2300X
Primary Care Clinic/Center
Primary
25MA02629900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1D1696904
—
NJ
Enumeration date
06/03/2010
Last updated
06/03/2010
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