Individual
TYNAI MUSAEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1400 SOUTH AVE APT 431, PLAINFIELD, NJ 07062-1970
(917) 374-0485
Mailing address
1400 SOUTH AVE APT 431, PLAINFIELD, NJ 07062-1970
(917) 374-0485
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ01174000
NJ
Other
Enumeration date
02/27/2021
Last updated
07/14/2021
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