Lisa Beth Kogan, P.A.

NPI #1265679708 in Wayne, New Jersey

Provider Information

NPI Number
1265679708
Entity Type
Individual
Name
Lisa Beth Kogan, P.A.
Gender
Not Specified
Sole Proprietor
No
Primary Specialty
Physician Assistant
Credential
P.A.
Enumeration Date
Jan 20, 2009
Last Updated
Aug 2, 2011

Practice Location

Address
145 ROUTE 46 W
Address 2
SUITE 304
City
Wayne
ZIP Code
07470-6830
Phone
(973) 826-8299

Specialties & Taxonomy Codes

Specialty
Physician Assistant

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