Individual
MRS. MARYNA KUZNETSOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901
(908) 522-2065
Mailing address
120 OCEANA DR. WEST, 4C, BROOKLYN, NY 11235
(718) 795-7169
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
25MA09993500
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
04/23/2012
Last updated
07/03/2018
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