Provider Demographics
NPI:1427551951
Name:EDWARD KOSOY MD, PC
Entity Type:Organization
Organization Name:EDWARD KOSOY MD, PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:EDWARD
Authorized Official - Middle Name:
Authorized Official - Last Name:KOSOY
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:973-771-8601
Mailing Address - Street 1:18 SCHWEINBERG DR
Mailing Address - Street 2:
Mailing Address - City:ROSELAND
Mailing Address - State:NJ
Mailing Address - Zip Code:07068-1133
Mailing Address - Country:US
Mailing Address - Phone:973-771-8601
Mailing Address - Fax:973-228-3200
Practice Address - Street 1:704 PASSAIC AVE
Practice Address - Street 2:
Practice Address - City:WEST CALDWELL
Practice Address - State:NJ
Practice Address - Zip Code:07006-6468
Practice Address - Country:US
Practice Address - Phone:973-771-8601
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-03-12
Last Update Date:2023-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Single Specialty