Edward Kosoy Md, Pc | |
704 Passaic Ave West Caldwell NJ 07006-6468 | |
(973) 771-8601 | |
Not Available |
Full Name | Edward Kosoy Md, Pc |
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Speciality | Family Medicine |
Location | 704 Passaic Ave, West Caldwell, New Jersey |
Authorized Official Name and Position | Edward Kosoy (DIRECTOR) |
Authorized Official Contact | 9737718601 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Edward Kosoy Md, Pc 18 Schweinberg Dr Roseland NJ 07068-1133 Ph: (973) 771-8601 | Edward Kosoy Md, Pc 704 Passaic Ave West Caldwell NJ 07006-6468 Ph: (973) 771-8601 |
NPI Number | 1427551951 |
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Provider Enumeration Date | 03/12/2018 |
Last Update Date | 04/11/2023 |
Medicare PECOS PAC ID | 8729342076 |
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Medicare Enrollment ID | O20180514001659 |
Identifier | Type | State | Issuer |
---|---|---|---|
1427551951 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207Q00000X | Family Medicine | (* (Not Available)) | Primary |
Provider Name | Edward Kosoy |
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Provider Type | Practitioner - Family Practice |
Provider Identifiers | NPI Number: 1871561571 PECOS PAC ID: 8325030570 Enrollment ID: I20040517000808 |
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