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Individual

IRINA KONZELMANN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
NP

Contact information

Practice address
136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920-3444
(908) 542-3300
Mailing address
136 MOUNTAINVIEW BLVD, BASKING RIDGE, NJ 07920-3444

Taxonomy

Speciality
Code
Description
License number
State
207RX0202X
Medical Oncology Physician
26NJ00622600
NJ
363LP2300X
Primary Care Nurse Practitioner
Primary
26NJ00622600
NJ

Other

Enumeration date
04/13/2016
Last updated
01/10/2019
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