Organization
MEADOWLANDS PHYSICIANS PROFESSIONAL ASSOCIATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ROMAN KOSIBOROD D.O. (OWNER)
(201) 982-4706
Entity
Organization
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 982-4706
Mailing address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 982-4706
Taxonomy
Speciality
Code
Description
License number
State
208D00000X
General Practice Physician
Primary
—
—
Other
Enumeration date
08/01/2012
Last updated
12/18/2012
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