Individual
OLEG RIVKIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
680 KINDERKAMACK RD, SUITE 300, ORADELL, NJ 07649-1600
(201) 741-2550
(201) 342-7171
Mailing address
680 KINDERKAMACK RD, SUITE 300, ORADELL, NJ 07649-1600
(201) 741-2550
(201) 342-7171
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
009405
NY
Other
Enumeration date
03/29/2007
Last updated
12/04/2012
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