Organization
ALLIANCE SPINE ASSOCIATES LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ROMAN KOSIBOROD (SPECIALIST)
(973) 685-7121
Entity
Organization
Contact information
Practice address
39-40 BROADWAY STE 1, FAIR LAWN, NJ 07410-5413
(201) 509-8998
(973) 246-7120
Mailing address
39-40 BROADWAY STE 1, FAIR LAWN, NJ 07410-5413
(201) 509-8998
(973) 246-7120
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MB07566200
NJ
Other
Enumeration date
02/06/2014
Last updated
04/17/2019
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