Klos, Andrzej Edmund

Klos, Andrzej Edmund is an individual health care provider with primary practice located at 1327 Willow Ave , Hoboken NJ 07030-3337. He recently has only one registered license in Allopathic & Osteopathic Physicians / Pediatrics, which is considered as his primary health care specialty. Klos, Andrzej Edmund can be contacted via phone (201) 963-5633.

Contact Information

Primary practice address
1327 Willow Ave Hoboken NJ 07030-3337
Phone: (201) 963-5633
Fax: (201) 963-5412
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA06004500 New Jersey

Profile Details

NPI number 1104932144
LBN Legal business name Klos, Andrzej Edmund
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Aug 22nd, 2006
Last updated Jul 9th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1104932144 NPPES
Other 1K8654 HEALTHNET
Other 81849 HEALTHNET
Other 0005778469 HEALTHNET
Other 446X31 HEALTHNET
Other 9847708014 HEALTHNET
Other P1244524 HEALTHNET
MEDICAID 6201407 HEALTHNET
Other 1852641 HEALTHNET

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