Organization
BERGEN BARIATRIC AND SURGICAL SOLUTIONS PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. MIKHAIL A. BOTVINOV D.O. (OWNER)
(201) 693-2653
Entity
Organization
Contact information
Practice address
260 OLD HOOK ROAD,, SUITE 303A, WESTWOOD, NJ 07675-3123
(201) 778-5344
(201) 778-5399
Mailing address
23 ROBYN CT, EMERSON, NJ 07630-1464
(201) 778-5344
(201) 778-5399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
—
NJ
Other
Enumeration date
10/06/2017
Last updated
06/17/2020
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