Boris Kostroma, MD
Anesthesiology in Belleville, New Jersey
1760550537- Practice location
- 1 Clara Maass Dr, Belleville, NJ 07109-3550
- Phone
- 973-450-2000
- Fax
- —
- Last updated
- June 17, 2016
Boris Kostroma is an Anesthesiology based in Belleville, NJ. Boris Kostroma practices in Belleville, NJ and has the professional credentials of MD. The NPI Number for Boris Kostroma is 1760550537 and holds a License No. 25MA07495200 (NJ). The current practice location address for Boris Kostroma is 1 Clara Maass Dr, Belleville, NJ 07109-3550 and can be reached out via phone at 973-450-2000.
Provider Profile Details
- NPI Number
- 1760550537
- Provider Name
- Boris Kostroma
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 1 Clara Maass Dr, Belleville, NJ 07109-3550
- Phone Number
- 973-450-2000
- Primary Taxonomy
- Anesthesiology · 207L00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- December 1, 2006
- Last Update Date
- June 17, 2016
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1 Clara Maass Dr
Belleville, NJ 07109-3550 - City
- Belleville
- State
- New Jersey
- Zip
- 07109-3550
- Phone Number
- 973-450-2000
Provider Business Mailing Address Details
- Address
- 11781 Lee Jackson Memorial Hwy
Suite 550
Fairfax, VA 22033-3309 - City
- Fairfax
- State
- VA
- Zip
- 22033-3309
- Phone Number
- 571-777-5157
- Fax Number
- 703-890-2650
License Information
- License Number
- 25MA07495200
- License State
- NJ
- Taxonomy
- Anesthesiology · 207L00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Boris Kostroma, MD?
The NPI number of Boris Kostroma, MD is 1760550537. It was assigned on December 1, 2006 and is currently active in the NPPES registry.
What is the specialty of Boris Kostroma, MD?
Boris Kostroma, MD is registered under the primary taxonomy Anesthesiology (code 207L00000X), licensed in NJ under license number 25MA07495200.
Where does Boris Kostroma, MD practice?
The practice location is 1 Clara Maass Dr, Belleville, NJ 07109-3550. The office can be reached at 973-450-2000 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760550537 directly on the NPPES registry website.