Individual
ROMAN POVOLOTSKIY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
90 BERGEN ST STE 8100, NEWARK, NJ 07103-2425
(973) 972-2548
Mailing address
400 VALLEY RD STE 105, MT ARLINGTON, NJ 07856-2316
(973) 770-7101
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
25MA12473000
NJ
Other
Enumeration date
04/01/2020
Last updated
06/30/2025
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