Individual
ROBERT KOGAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
700 N BROAD ST, ELIZABETH, NJ 07208-2310
(908) 354-1045
Mailing address
700 N BROAD ST, ELIZABETH, NJ 07208-2310
(908) 354-1045
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA04336900
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5455600
—
NJ
Enumeration date
10/27/2006
Last updated
03/11/2014
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