Individual
YISRAEL KADOSH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
637 RIVER AVE, LAKEWOOD, NJ 08701-5227
(732) 597-3953
Mailing address
637 RIVER AVE, LAKEWOOD, NJ 08701-5227
(732) 597-3953
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
224727
NY
207RC0000X
Cardiovascular Disease Physician
Primary
25MA08048100
NJ
207RC0000X
Cardiovascular Disease Physician
MD438811
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0287164
—
NJ
Enumeration date
03/27/2006
Last updated
11/24/2016
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