Organization
YEVGAS PRECESION SERVICES
Active
Organization subpart
No
Provider details
NPI number
Authorized official
YEVGENIYA DREIZIN PA (OWNER)
(732) 742-5084
Entity
Organization
Contact information
Practice address
901 W MAIN ST, FREEHOLD, NJ 07728-2537
(732) 742-5084
Mailing address
PO BOX 151, WICKATUNK, NJ 07765-0151
(732) 742-5084
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MP00119800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00119800
LICENSE
NJ
Enumeration date
06/19/2017
Last updated
06/19/2017
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