Individual
BORIS G KOUANANG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CRNA
Contact information
Practice address
94 OLD SHORT HILLS RD STE 1, LIVINGSTON, NJ 07039-5668
(973) 322-5000
Mailing address
200 BOYDEN AVE APT 374, MAPLEWOOD, NJ 07040-2685
(609) 218-7884
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01224000
NJ
Other
Enumeration date
11/01/2021
Last updated
11/01/2021
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