Organization
INFINIHEALTH MEDICAL GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ROMAN KOSIBOROD DO (MANAGING MEMBER)
(201) 982-4706
Entity
Organization
Contact information
Practice address
776 NORTHFIELD AVE STE 101, WEST ORANGE, NJ 07052-1140
(973) 324-0400
Mailing address
776 NORTHFIELD AVE STE 101, WEST ORANGE, NJ 07052-1140
(201) 982-4706
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
03/04/2024
Last updated
03/19/2024
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