Individual
GARY KOHN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 673-7220
(973) 992-6325
Mailing address
1 DIAMOND HILL RD, BERKELEY HEIGHTS, NJ 07922-2104
(908) 673-7220
(973) 992-6325
Taxonomy
Speciality
Code
Description
License number
State
2080P0214X
Pediatric Pulmonology Physician
Primary
25MA07354000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8868107
—
NJ
Enumeration date
03/02/2006
Last updated
07/22/2019
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