Individual
JOANNA KOSTIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3322 US HIGHWAY 22 STE 1104, BRANCHBURG, NJ 08876-4405
(908) 595-1221
Mailing address
667 CASE RD, BRANCHBURG, NJ 08853-4171
(732) 208-8444
Taxonomy
Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
22DI02870801
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/26/2021
Last updated
05/21/2024
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