Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207XP3100X | Pediatric Orthopaedic Surgeon | 25MA06320700 | NJ |
NPI | 1578614723 |
---|---|
Provider Name | Dr. David Eric Konigsberg |
First Address | Midland Park, NJ 07432-1468 |
Second Address | Midland Park, NJ 07432-1468 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 15/01/2007 |
Last Update Date | 11/03/2013 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0934837003 | CIGNA (01) | NJ |
3Q4361 | EMPIRE BCBS (01) | NJ |
94834 | AMERIGROUP (01) | NJ |
J31580 | HEALTHNET (01) | NJ |
P2618411 | OXFORD (01) | NJ |