Michael E. Kostelnik, MD PA

NPI #1508049115 in Succasunna, New Jersey

Provider Information

NPI Number: 1508049115
Entity Type: Organization
Organization Name: Michael E. Kostelnik, MD PA
Primary Specialty: Internal Medicine
Enumeration Date: Dec 6, 2007
Last Updated: Dec 6, 2007

Practice Location

Address: 52 MAIN ST
Address 2: UNIT ONE
City: Succasunna
State: New Jersey
ZIP Code: 07876-1462
Phone: (973) 584-1405

Authorized Official

Name: MICHAEL E KOSTELNIK, M.D.
Title: OWNER
Phone: (973) 584-1405

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Internal Medicine	207R00000X	Primary

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