NPI | 1013681220 |
---|---|
Doing Business As | ALEXANDER KOLESSA,MD |
Entity Type | Organization |
Authorized Contact | ALEXANDER KOLESSA Owner 732-425-3564 |
Organization Subpart ? | No |
Primary Taxonomy | 261QC1500X Clinic/Center, Community Health |
Enumeration Date | 2021-08-03 |
Last Update Date | 2021-08-03 |