Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207PP0204X | Pediatric Emergency Physician | 25MA09204000 | NJ |
NPI | 1417188772 |
---|---|
Provider Name | Ursula Laskowski-Kos |
First Address | Parsippany, NJ 07054-4610 |
Second Address | Morristown, NJ 07960-6136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2009 |
Last Update Date | 15/11/2018 |