NPI 1306009410

Martin Koenigsberg D.O. PA.

Organisation Family Medicine Physician Fair Lawn, NJ

Practice location

Address: 19-03 Maple Ave Ste2, Fair Lawn, NJ 07410-1553
Phone: (973) 556-5744
Mailing address: 19-03 Maple Ave Suite 2, Fair Lawn, NJ 07410-1553

Authorised official

Name: Martin a Koenigsberg
Title: President
Phone: (973) 556-5744

Registered specialties

Family Medicine Physician Primary

Allopathic & Osteopathic Physicians Taxonomy 207Q00000X Licence 25MB03362200 (NJ)

Other Family Medicine providers in New Jersey →

Registry record

NPI: 1306009410
Entity type: Organization
NPI issued: 8 Jul 2008
Record last updated: 8 Jul 2008

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.