| Martin Koenigsberg D.o. Pa. | |
|
19-03 Maple Ave Ste2 Fair Lawn NJ 07410-1553 | |
| (973) 556-5744 | |
| Not Available |
| Full Name | Martin Koenigsberg D.o. Pa. |
|---|---|
| Speciality | Family Medicine |
| Location | 19-03 Maple Ave, Fair Lawn, New Jersey |
| Authorized Official Name and Position | Martin A Koenigsberg (PRESIDENT) |
| Authorized Official Contact | 9735565744 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Martin Koenigsberg D.o. Pa. 19-03 Maple Ave Suite 2 Fair Lawn NJ 07410-1553 Ph: (973) 556-5744 | Martin Koenigsberg D.o. Pa. 19-03 Maple Ave Ste2 Fair Lawn NJ 07410-1553 Ph: (973) 556-5744 |
| NPI Number | 1306009410 |
|---|---|
| Provider Enumeration Date | 07/08/2008 |
| Last Update Date | 07/08/2008 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1306009410 | NPI | - | NPPES |
| 0061638 | Medicaid | NJ |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | 25MB03362200 (New Jersey) | Primary |
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