Individual
DAVID KONIGSBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
2125 ROUTE 88 E, BRICK, NJ 08724-3273
(732) 892-4548
Mailing address
2125 ROUTE 88 E, BRICK, NJ 08724-3273
(732) 892-4548
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB09256100
NJ
207QS0010X
Sports Medicine (Family Medicine) Physician
25MB09256100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0409693
—
NJ
Enumeration date
10/08/2008
Last updated
09/16/2014
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