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NPI Code Detail

MEDICARE: SARA KOGOS MS

MEDICARE: SARA KOGOS MS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1235Z00000XSpeech-Language PathologistTL-2954NJ

General Provider Information

NPI Number : 1891212569
Entity Type Code : Individual
Provider Name (Legal Business Name) : SARA KOGOS MS
Provider Business Mailing Address
First Line : 81 WHISPERING PINES LN
Second Line :
City : LAKEWOOD
State : NJ
Zip : 08701-1459
Country : US
Telephone Number : 845-538-3821
Fax Number :
Provider Business Practice Location Address
First Line : 2 STACY CT
Second Line :
City : JACKSON
State : NJ
Zip : 08527-2912
Country : US
Telephone Number : 732-664-8874
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2017
Last Update Date : 08/24/2017

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Directions to “ SARA KOGOS MS” Practice Location

Language Start Address Practice Location
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