Individual
DR. MICHAEL NEVINS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
230 EAST RIDGEWOOD AVE, PARAMUS, NJ 07652
(201) 967-4156
Mailing address
808 ARCADIA PLACE, RIVER VALE, NJ 07675
(201) 391-6354
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA02200200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0163902
—
NJ
01
—
25MA02200200
NJ LICENSE
—
Enumeration date
10/17/2006
Last updated
03/07/2023
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