Individual provider · Type 1 NPI

Roman N. Kosiborod, DO

Specialist · Fair Lawn, NJ

NPI number 1831192079 Active

Practice location

39-40 Broadway Ste 1
Fair Lawn, NJ 07410

Call (201) 509-8998 Map

Fax (973) 246-7120

Mailing address

387 Vance Ave
Franklin Lakes, NJ 07417-3016

Other practice locations

  • 429 Crestwood Ave, Hackensack, NJ 07601-1444 · (201) 342-5057

Specialties and licenses

TaxonomyCodeLicense
Specialist Primary 174400000X25MB07566200 (NJ)

Specialist: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree.

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About NPI 1831192079

Roman N. Kosiborod, DO's National Provider Identifier is 1831192079, issued on May 23, 2005. The primary taxonomy on file is Specialist (174400000X), and the practice location is in Fair Lawn, NJ. The record was last updated on Apr 17, 2019.