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Contact Information

VADIM P KOSHENKOV, MD
195 LITTLE ALBANY ST STE 3001
NEW BRUNSWICK, NJ08901-1914
 Phone: 732-235-7563
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgical Oncology

2086X0206X 02 Physician/General Surgery
Indicates primary specialty

NPI Profile & details for VADIM P KOSHENKOV · (Male)

NPI Number 1376785360
Status Active
Credentials MD
Entity Individual
Enumeration date 04/06/2009
Last updated 02/24/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MA09287900
Hospital affiliation(s)
  • ROBERT WOOD JOHNSON UNIVERSITY HOSPITAL - (Acute Care)
    ONE ROBERT WOOD JOHNSON PL
    NEW BRUNSWICK, NJ 08901
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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