Organization
MARTIN KOENIGSBERG D.O. PA.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MARTIN A KOENIGSBERG D.O. (PRESIDENT)
(973) 556-5744
Entity
Organization
Contact information
Practice address
19-03 MAPLE AVE, STE2, FAIR LAWN, NJ 07410-1553
(973) 556-5744
Mailing address
19-03 MAPLE AVE, SUITE 2, FAIR LAWN, NJ 07410-1553
(973) 556-5744
(201) 818-4863
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB03362200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0061638
—
NJ
Enumeration date
07/08/2008
Last updated
07/08/2008
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