Individual
JONATHAN S. DOSIK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
348 S MAPLE AVE, GLEN ROCK, NJ 07452-1542
(201) 652-6060
(201) 652-1882
Mailing address
348 S MAPLE AVE, GLEN ROCK, NJ 07452-1542
(201) 652-6060
(201) 652-1882
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
MA70663
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0090590
—
NJ
01
—
P00223215
RR MEDICARE
—
Enumeration date
03/22/2006
Last updated
11/23/2010
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