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Contact Information

MARCIN K KOCIUBA, DO
10 HURON AVE
APT 7E
JERSEY CITY, NJ07306-3641
 Phone: 201-259-3969
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Emergency Medicine

207P00000X 93 Physician/Emergency Medicine
Indicates primary specialty

NPI Profile & details for MARCIN K KOCIUBA · (Male)

NPI # 1285859488
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 04/16/2007
Last updated 05/02/2008 - About 18 years ago
Sole proprietor 1 Yes
Identifiers
  • NJ License # 25MB08197300
  • NJ Medicaid 0132446
Hospital affiliation(s)
  • SAINT MICHAEL'S MEDICAL CENTER INC - (Acute Care)
    111 CENTRAL AVENUE
    NEWARK, NJ 07102
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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