Organization
EILEEN A. ZHIVAGO, M.D., LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. EILEEN ZHIVAGO MD (CLINICAL DIRECTOR)
(646) 248-3186
Entity
Organization
Contact information
Practice address
215 NORTH AVE W, WESTFIELD, NJ 07090-1491
(908) 308-4500
Mailing address
19 RYERSON PL, CLOSTER, NJ 07624-2505
(646) 248-3186
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
—
—
Other
Enumeration date
10/16/2019
Last updated
10/16/2019
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