| Kossow & Sandberg MD LLC | |
|
731 Alexander Rd Ste 201 Princeton NJ 08540-6345 | |
| (609) 655-3800 | |
| (866) 912-7741 |
| Full Name | Kossow & Sandberg MD LLC |
|---|---|
| Speciality | Internal Medicine |
| Location | 731 Alexander Rd Ste 201, Princeton, New Jersey |
| Authorized Official Name and Position | Lynne B Kossow (MD) |
| Authorized Official Contact | 6094105487 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Kossow & Sandberg MD LLC 731 Alexander Rd Ste 201 Princeton NJ 08540-6345 Ph: (609) 655-3800 | Kossow & Sandberg MD LLC 731 Alexander Rd Ste 201 Princeton NJ 08540-6345 Ph: (609) 655-3800 |
| NPI Number | 1720758642 |
|---|---|
| Provider Enumeration Date | 09/14/2021 |
| Last Update Date | 02/12/2022 |
| Certification Date | 02/12/2022 |
| Medicare PECOS PAC ID | 9234529397 |
|---|---|
| Medicare Enrollment ID | O20211203000151 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1720758642 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | (NU) | Primary |
| Provider Name | Emily Kossow Sandberg |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1790216745 PECOS PAC ID: 6103243449 Enrollment ID: I20220303001295 |
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