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Dr. Roman N Kosiborod, DO
Specialist in Fair Lawn, New Jersey
NPI 1831192079

Roman N Kosiborod is a Specialist based in Franklin Lakes, NJ. Roman N Kosiborod practices in Fair Lawn, NJ and has the professional credentials of DO. The NPI Number for Roman N Kosiborod is 1831192079 and holds a License No. 25MB07566200 (New Jersey).

The current practice location address for Roman N Kosiborod is 39-40 Broadway Ste 1, Fair Lawn, NJ and can be reached out via phone at 201-509-8998 and via fax at 973-246-7120.

Location: 39-40 Broadway Ste 1, Fair Lawn, NJ, 07417-3016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1831192079
Provider Name
Roman N Kosiborod
Credential
DO
Provider Entity Type
Individual
Gender
Male
Address
39-40 Broadway Ste 1, Fair Lawn, NJ, 07417-3016
Phone Number
201-509-8998
Fax Number
973-246-7120
Provider Enumeration Date
05/23/2005
Last Update Date
03/08/2024
institution
Provider Business Practice Location Address Details
Address
39-40 Broadway Ste 1
City
Fair Lawn
State
New Jersey
Zip
07410
Phone Number
201-509-8998
Fax Number
973-246-7120
person
Provider Business Mailing Address Details
Address
39-40 Broadway Ste 1
City
Fair Lawn
State
New Jersey
Zip
07410
Phone Number
201-509-8998
Fax Number
973-246-7120
person
Provider's Taxonomy Details 1
Type
Other Service Providers
Classification
Specialist
Speciality
-
Taxonomy
174400000X
License No.
25MB07566200 (New Jersey)
Definition
An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.
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