Paul M Kosmorsky DO LLC

Primary specialty

Family Medicine PhysicianTaxonomy code 207Q00000X

License

25MB05545000 Issued in NJ

Legal business name

PAUL M KOSMORSKY DO LLC

Practice address

8008 Route 130
Delran, NJ 08075-1869

Phone

(856) 764-7997

Fax

(856) 764-1840

NPI assigned

Jul 31, 2013

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Paul M Kosmorsky, DO

Title

Owner

Phone

(856) 764-7997

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1375228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375228800000",
    "number": "1366874430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 FLORAL VALE BLVD",
            "city": "YARDLEY",
            "state": "PA",
            "postal_code": "190675525",
            "telephone_number": "856-764-7997",
            "fax_number": "856-764-1840"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "8008 ROUTE 130",
            "city": "DELRAN",
            "state": "NJ",
            "postal_code": "080751869",
            "telephone_number": "856-764-7997",
            "fax_number": "856-764-1840"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PAUL M KOSMORSKY DO LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-31",
        "last_updated": "2013-07-31",
        "status": "A",
        "authorized_official_last_name": "KOSMORSKY",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "856-764-7997",
        "authorized_official_credential": "DO"
    },
    "taxonomies": [
        {
            "code": "207Q00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Family Medicine",
            "state": "NJ",
            "license": "25MB05545000",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Family Medicine Physician in Delran, NJ
• Providers in Delran, NJ by specialty
• Family Medicine Physician in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 31, 2013; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.