Individual
OLGA KOSOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
5 FRANKLIN AVE, SUITE 401, BELLEVILLE, NJ 07109-3532
(973) 450-8999
(973) 450-9669
Mailing address
18 SCHWEINBERG DR, ROSELAND, NJ 07068-1133
(973) 917-9383
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00103300
NJ
Other
Enumeration date
05/14/2007
Last updated
12/14/2011
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