Individual
BLAZEJ KOSSAKOWSKI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
APN-C
Contact information
Practice address
299 CHERRY HILL RD, PARSIPPANY, NJ 07054-1111
(973) 397-5480
Mailing address
299 CHERRY HILL RD, PARSIPPANY, NJ 07054-1111
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
26NJ01465500
NJ
Other
Enumeration date
04/03/2023
Last updated
04/03/2023
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