Individual
SERGEI A PUSHILIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
44810 BELMAR BLVD, 1ST FLOOR, WALL TOWNSHIP, NJ 07753-0775
(732) 938-6090
Mailing address
2 WORLDS FAIR DR, SOMERSET, NJ 08873-1369
(732) 537-0909
(732) 564-9032
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
25MA10357500
NJ
207XX0801X
Orthopaedic Trauma Physician
25MA10357500
NJ
Other
Enumeration date
05/31/2012
Last updated
09/19/2023
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