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Individual

MICHAEL DOSS

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
350 BOULEVARD, PASSAIC, NJ 07055-2840
(973) 365-4300
Mailing address
PO BOX 343, MIDLAND PARK, NJ 07432-0343
(201) 804-2800

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA 57723
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
7717407
NJ
Enumeration date
05/23/2005
Last updated
04/29/2014
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