Individual
IGOR GOSEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, PHD
Contact information
Practice address
201 LYONS AVE # L5, NEWARK, NJ 07112-2027
(973) 926-6938
Mailing address
601 ELMWOOD AVE BOX SURG, ROCHESTER, NY 14642-8410
(585) 275-6964
Taxonomy
Speciality
Code
Description
License number
State
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
Primary
25MA12219400
NJ
208G00000X
Thoracic Surgery (Cardiothoracic Vascular Surgery) Physician
287282
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110094932A
—
MA
Enumeration date
12/05/2011
Last updated
06/03/2024
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