Individual
DR. ANDRZEJ EDMUND KLOS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1327 WILLOW AVE, HOBOKEN, NJ 07030-3337
(201) 963-5633
(201) 963-5412
Mailing address
6 WOODCREST CT, WARREN, NJ 07059-5828
(908) 755-9467
(908) 756-7098
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06004500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0005778469
AETNA
—
01
—
1852641
UNITED HEALTHCARE
—
01
—
1K8654
HEALTHNET
—
01
—
446X31
EMPIRE BCBS
—
05
—
6201407
—
NJ
01
—
81849
AMERIGROUP
NJ
01
—
9847708014
CIGNA HEALTHCARE
—
01
—
P1244524
OXFORD HEALTH PLANS
—
Enumeration date
08/22/2006
Last updated
07/09/2007
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