Individual
DR. JOOLY P KOSHY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
150 BERGEN STREET, NEWARK, NJ 07103
(972) 972-4300
Mailing address
11 TAURUS CT, EDISON, NJ 08820-1711
(732) 644-4858
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ01002000
NJ
Other
Enumeration date
10/26/2019
Last updated
12/27/2019
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