Individual
MS. JOANN M KOSTYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MT
Contact information
Practice address
90 W MAIN ST, SUITE 9, FREEHOLD, NJ 07728-2144
(732) 801-0615
Mailing address
90 W MAIN ST, SUITE 9, FREEHOLD, NJ 07728-2144
(732) 801-0615
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/13/2011
Last updated
01/13/2011
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