# NATALYA AVANESOVA LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** ANEW MEDICAL LLC
- **Organization subpart:** No

## Provider details

- **NPI number:** 1578797759
- **Authorized official:** DR. NATALYA OLEG AVANESOVA M.D. (OWNER)
- **Authorized official phone:** (732) 677-2505

## Contact information

- **Practice address:** 193 ROUTE 9 STE 1D, MANALAPAN, NJ 07726-3016
- **Practice address phone:** (732) 677-2505
- **Practice address fax:** (732) 677-2506
- **Mailing address:** 193 ROUTE 9 SOUTH, SUITE 1D, MANALAPAN, NJ 07726-3016
- **Mailing address phone:** (732) 677-2505
- **Mailing address fax:** (732) 677-2506

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 207R00000X | Internal Medicine Physician | — | NULL | Yes |
| 207R00000X | Internal Medicine Physician | — | — | Yes |

## Other

- **Enumeration date:** 05/04/2009
- **Last updated:** 07/07/2023