Konigsberg, David

Konigsberg, David is an individual health care provider with primary practice located at 2125 Route 88 E , Brick NJ 08724-3273. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Sports Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Konigsberg, David can be contacted via phone (732) 892-4548.

Contact Information

Primary practice address
2125 Route 88 E Brick NJ 08724-3273
Phone: (732) 892-4548
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB09256100 New Jersey
Allopathic & Osteopathic Physicians / Sports Medicine 207QS0010X 25MB09256100 New Jersey

Profile Details

NPI number 1114178142
LBN Legal business name Konigsberg, David
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 8th, 2008
Last updated Sep 16th, 2014 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1114178142 NPPES
New Jersey MEDICAID 0409693

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