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Individual

STEPHEN D KOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
108 BILBY RD, STE 201, HACKETTSTOWN, NJ 07840-4174
(908) 684-3005
(908) 684-3301
Mailing address
108 BILBY ROAD, STE 201, HACKETTSTOWN, NJ 07840
(908) 684-3005
(908) 684-3301

Taxonomy

Speciality
Code
Description
License number
State
207XX0005X
Sports Medicine (Orthopaedic Surgery) Physician
Primary
25MA06416800
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7165307
NJ
Enumeration date
05/12/2006
Last updated
02/13/2013
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