Organization
HOBOKEN PEDIATRICS
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDRZEJ KLOS M.D. (PRESIDENT)
(201) 963-5633
Entity
Organization
Contact information
Practice address
1327 WILLOW AVE, HOBOKEN, NJ 07030-3337
(201) 963-5633
(201) 963-5412
Mailing address
1327 WILLOW AVE, HOBOKEN, NJ 07030-3337
(201) 963-5633
(201) 963-5412
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA06004500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8836604
—
NJ
Enumeration date
05/09/2008
Last updated
05/09/2008
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