Individual
VADIM P KOSHENKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
195 LITTLE ALBANY ST STE 3001, NEW BRUNSWICK, NJ 08901-1914
(732) 235-7563
Mailing address
195 LITTLE ALBANY ST STE 3001, NEW BRUNSWICK, NJ 08901-1914
Taxonomy
Speciality
Code
Description
License number
State
2086X0206X
Surgical Oncology Physician
Primary
25MA09287900
NJ
Other
Enumeration date
04/06/2009
Last updated
02/24/2014
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