Individual
DR. MARCIN K KOCIUBA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
10 HURON AVE, APT 7E, JERSEY CITY, NJ 07306-3641
(201) 259-3969
Mailing address
66 WEST GILBERT ST, 2ND FL, RED BANK, NJ 07701
(732) 212-0051
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB08197300
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0132446
—
NJ
Enumeration date
04/16/2007
Last updated
05/02/2008
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