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1760550537
BORIS KOSTROMA
BELLEVILLE, NJ
NPI
1760550537
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207L00000X Anesthesiology
(Licence: NJ 25MA07495200)
Enumeration Date
2006-12-01
Last Update Date
2016-06-17
Business Address
-- BORIS KOSTROMA M.D.
1 CLARA MAASS DR
BELLEVILLE, NJ 07109-3550
Phone number: 973-450-2000
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Mailing Address
-- BORIS KOSTROMA M.D.
11781 LEE JACKSON MEMORIAL HWY SUITE 550
FAIRFAX, VA 22033-3309
Phone number: 571-777-5157
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