Organization
YITZHACK ASULIN, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. YITZHACK ASULIN M.D. (PRESIDENT)
(201) 880-5578
Entity
Organization
Contact information
Practice address
20 PROSPECT AVE STE 719, HACKENSACK, NJ 07601-1974
(201) 880-5578
(917) 543-5638
Mailing address
20 PROSPECT AVE, SUITE 719, HACKENSACK, NJ 07601-1997
(201) 880-5578
(917) 543-5638
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA08686200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA08686200
NJ STATE MEDICAL LICENSE
NJ
Enumeration date
03/17/2010
Last updated
06/03/2010
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