Organization
CENTRAL PARK
Active
Other names
Central Park
Organization subpart
No
Provider details
NPI number
Authorized official
MS. SHAHNOZ RUSTAMOVA MD (MEDICAL DOCTOR)
(646) 391-3414
Entity
Organization
Contact information
Practice address
280 KENNEDY BLVD, BAYONNE, NJ 07002-1234
(646) 391-3414
(212) 974-0493
Mailing address
280 KENNEDY BLVD, BAYONNE, NJ 07002-1234
(646) 391-3414
(212) 974-0493
Taxonomy
Speciality
Code
Description
License number
State
207VG0400X
Gynecology Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
245082
—
NY
Enumeration date
12/08/2020
Last updated
12/08/2020
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