Bergen Spine Associates Professional Corporation

NPI #1477972859 in Secaucus, New Jersey

Provider Information

NPI Number: 1477972859
Entity Type: Organization
Organization Name: Bergen Spine Associates Professional Corporation
Primary Specialty: Hospitalist
Enumeration Date: Apr 14, 2014
Last Updated: Apr 14, 2014

Practice Location

Address: 55 MEADOWLANDS PKWY
City: Secaucus
State: New Jersey
ZIP Code: 07094-2977
Phone: (201) 982-4706

Authorized Official

Name: DR. ROMAN KOSIBOROD, D.O.
Title: OWNER/PRESIDENT
Phone: (201) 982-4706

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Hospitalist	208M00000X	Primary

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