Organization
MEADOWLANDS EMERGENCY GROUP PROFESSIONAL CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN N KOSIBOROD D.O. (ANESTHESIOLOGY)
(626) 447-0296
Entity
Organization
Contact information
Practice address
55 MEADOWLANDS PKWY, SECAUCUS, NJ 07094-2977
(201) 392-3210
Mailing address
PO BOX 826431, PHILADELPHIA, PA 19182-6431
(201) 392-3210
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MB07566200
NJ
Other
Enumeration date
11/18/2013
Last updated
04/09/2014
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