Individual
JEFFREY BENNETT DOSKOW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1000 GALLOPING HILL RD, SUITE 107, UNION, NJ 07083-7989
(908) 964-7333
Mailing address
PO BOX 416457, BOSTON, MA 02241-6457
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
MA56244
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
5017203
—
NJ
01
—
681182AYA
MPTANEDICARE
NJ
Enumeration date
04/27/2006
Last updated
02/01/2017
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