Organization
HIGHLAND MEDICAL GROUP, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDR A ZAITSEV MD (PRESIDENT)
(973) 574-2070
Entity
Organization
Contact information
Practice address
165 MAIN STREET, HACKENSACK, NJ 07601
(973) 574-2070
(973) 574-2090
Mailing address
P.O. BOX 1115, ENGLEWOOD CLIFFS, NJ 07632
(973) 574-2070
(973) 574-2090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
25MA07388400
NJ
207L00000X
Anesthesiology Physician
Primary
25MA07388400
NJ
208VP0000X
Pain Medicine Physician
25MA07388400
NJ
Other
Enumeration date
06/03/2010
Last updated
09/22/2011
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