Organization
NEW JERSEY MSO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SAMUEL KOHN (MANAGER)
(347) 631-6775
Entity
Organization
Contact information
Practice address
43 N WHITE HORSE PIKE, HAMMONTON, NJ 08037-1875
(212) 734-6621
Mailing address
4770 WHITE PLAINS RD, BRONX, NY 10470-1136
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Enumeration date
06/05/2025
Last updated
06/05/2025
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