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Organization
ZHANNA KANEVSKY, MD PC
Active
Organization
ZHANNA KANEVSKY, MD PC
Active
Other names
BRANFORD MEDICAL CENTER
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ZHANNA KANEVSKY MD (VP)
(973) 424-0080
Entity
Organization
Contact information
Practice address
23 BRANFORD PL, NEWARK, NJ 07102-2711
(973) 424-0080
(973) 424-0088
Mailing address
23 BRANFORD PL, NEWARK, NJ 07102-2711
(973) 424-0080
(973) 424-0088
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07783800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0049441
—
NJ
Enumeration date
10/04/2011
Last updated
10/04/2011
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