| Organization Name: | PANDE V. JOSIFOSKI, M.D., L.L.C. |
| NPI Number: | 1053631846 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | MARIA PALACIOS (MEDICAL ASSISTANT) |
| Mailing Address: | 123 Highland Ave Suite 203 Glen Ridge |
| State: | NJ US |
| Postal Code: | 070281527 |
| Phone Number: | 9737480678 |
| Fax Number: | 9737482808 |
| NPI Enumeration Date: | 06/03/2010 |
| NPI Last Update Date: | 06/03/2010 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QP2300X |
| License Number: | 25MA02629900 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Primary Care |
| Taxonomy Definition: | |