Provider Demographics
NPI:1811190085
Name:KOSLOW, BARBARA LENORE (OD)
Entity Type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:LENORE
Last Name:KOSLOW
Suffix:
Gender:F
Credentials:OD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:42 FORESTDALE RD
Mailing Address - Street 2:
Mailing Address - City:KINNELON
Mailing Address - State:NJ
Mailing Address - Zip Code:07405-2509
Mailing Address - Country:US
Mailing Address - Phone:973-838-0928
Mailing Address - Fax:
Practice Address - Street 1:42 FORESTDALE RD
Practice Address - Street 2:
Practice Address - City:KINNELON
Practice Address - State:NJ
Practice Address - Zip Code:07405-2509
Practice Address - Country:US
Practice Address - Phone:973-838-0928
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-06-06
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJOA005148152W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes152W00000XEye and Vision Services ProvidersOptometrist