| Regional Electrodiagnostics LLC | |
|
2141 Us Highway 1 Lawrenceville NJ 08648-4407 | |
| (267) 966-5812 | |
| (215) 860-7966 |
| Full Name | Regional Electrodiagnostics LLC |
|---|---|
| Speciality | General Practice |
| Location | 2141 Us Highway 1, Lawrenceville, New Jersey |
| Authorized Official Name and Position | Paul M Kosmorsky (OWNER) |
| Authorized Official Contact | 2679665812 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Regional Electrodiagnostics LLC 303 Floral Vale Blvd Yardley PA 19067-5525 Ph: (267) 966-5812 | Regional Electrodiagnostics LLC 2141 Us Highway 1 Lawrenceville NJ 08648-4407 Ph: (267) 966-5812 |
| NPI Number | 1699238097 |
|---|---|
| Provider Enumeration Date | 04/11/2019 |
| Last Update Date | 04/11/2019 |
| Medicare PECOS PAC ID | 9234561309 |
|---|---|
| Medicare Enrollment ID | O20191111001208 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1699238097 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 208D00000X | General Practice | () | Primary |
| Provider Name | Paul Kosmorsky |
|---|---|
| Provider Type | Practitioner - Family Practice |
| Provider Identifiers | NPI Number: 1518921691 PECOS PAC ID: 8325191638 Enrollment ID: I20110527000569 |
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