-- OMAR CANOSA -- M.D.
Individual Provider (NPI-1)
Active
Psychiatry & Neurology, Child & Adolescent Psychiatry
Provider Information
- NPI Number
1841241494- Provider Type
- Individual Provider (NPI-1)
- Credentials
- M.D.
- Status
- Active
Contact & Location
- Address
- 37 KINGS RD STE 202, MADISON, NJ, 079402500
- Phone
- (973) 520-8848
- Fax
- (973) 200-8088
Specialties & Taxonomies
Psychiatry & Neurology, Psychiatry
License: PA #MD427434
Psychiatry & Neurology, Child & Adolescent Psychiatry
Primary License: NJ #25MA08381800