| Edgar Koganmd Pa | |
|
700 N Broad St #103 Elizabeth NJ 07208-2310 | |
| (908) 354-1045 | |
| (908) 354-0930 |
| Full Name | Edgar Koganmd Pa |
|---|---|
| Speciality | Internal Medicine - Gastroenterology |
| Location | 700 N Broad St, Elizabeth, New Jersey |
| Authorized Official Name and Position | Robert Kogan (OWNER) |
| Authorized Official Contact | 9083541045 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Edgar Koganmd Pa 700 N Broad St Ste 103 Elizabeth NJ 07208-2310 Ph: (908) 354-1045 | Edgar Koganmd Pa 700 N Broad St #103 Elizabeth NJ 07208-2310 Ph: (908) 354-1045 |
| NPI Number | 1023319712 |
|---|---|
| Provider Enumeration Date | 11/11/2010 |
| Last Update Date | 11/11/2010 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1023319712 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207RG0100X | Internal Medicine - Gastroenterology | (* (Not Available)) | Primary |
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