Organization
MIDLAND ANESTHESIA AND PAIN MANAGEMENT, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN KOSIBOROD M.D, D.O (DOCTOR)
(973) 685-7121
Entity
Organization
Contact information
Practice address
190 MIDLAND AVE, SADDLE BROOK, NJ 07663-6408
(973) 685-7121
Mailing address
PO BOX 8084, SADDLE BROOK, NJ 07663-8084
(973) 685-7121
(973) 246-7120
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB07566200
NJ
Other
Enumeration date
10/28/2008
Last updated
10/28/2008
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