Individual
MRS. POLINA OSMANOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA
Contact information
Practice address
505 RARITAN AVE, HIGHLAND PARK, NJ 08904-2901
(732) 393-1331
Mailing address
505 RARITAN AVE, HIGHLAND PARK, NJ 08904-2901
(732) 393-1331
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00248700
NJ
Other
Enumeration date
11/18/2010
Last updated
08/21/2023
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