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Contact Information

IRINA KONZELMANN, NP
136 MOUNTAINVIEW BLVD
BASKING RIDGE, NJ07920-3444
 Phone: 908-542-3300
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Primary Care

363LP2300X 50 Nurse Practitioner
 

Medical Oncology

207RX0202X 11 Physician/Internal Medicine
Indicates primary specialty

NPI Profile & details for IRINA KONZELMANN · (Female)

NPI Number 1417311754
Status Active
Credentials NP (Nurse Practitioner)
Entity Individual
Enumeration date 04/13/2016
Last updated 01/10/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 26NJ00622600
Hospital affiliation(s)
  • MEMORIAL HOSPITAL FOR CANCER AND ALLIED DISEASES - (Acute Care)
    1275 YORK AVENUE
    NEW YORK, NY 10021
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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