Individual
ANATOLY MALOLETKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
2185 LEMOINE AVE STE 1H, FORT LEE, NJ 07024-6030
(888) 701-6472
Mailing address
2185 LEMOINE AVE STE 1H, FORT LEE, NJ 07024-6030
(888) 701-6472
Taxonomy
Speciality
Code
Description
License number
State
363LP0808X
Psychiatric/Mental Health Nurse Practitioner
Primary
26NJ15306000
NJ
Other
Enumeration date
04/21/2025
Last updated
04/21/2025
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