# ALLA KATSEVA,MD,LLC

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- **Entity:** Organization
- **Status:** Active
- **Other names:** Geriatrics and Internal Medicine
- **Organization subpart:** No

## Provider details

- **NPI number:** 1598062796
- **Authorized official:** DR. ALLA KATSEVA M.D. (PHYSICIAN)
- **Authorized official phone:** (732) 238-8200

## Contact information

- **Practice address:** 561 CRANBURY RD, SUITE M, EAST BRUNSWICK, NJ 08816-5400
- **Practice address phone:** (732) 238-8200
- **Practice address fax:** (732) 651-6500
- **Mailing address:** PO BOX 58, EAST BRUNSWICK, NJ 08816-0058
- **Mailing address phone:** (732) 238-8200
- **Mailing address fax:** (732) 651-6500

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261Q00000X | Clinic/Center | 25 MA07544800 | NJ | — |
| 261QM2500X | Medical Specialty Clinic/Center | 25MA07544800 | NJ | Yes |

## Other

- **Enumeration date:** 02/24/2011
- **Last updated:** 10/30/2023