Individual
NINA VASKINA ANDREYEV
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
970 ROUTE 70, BRICK, NJ 08724-3502
(732) 206-8900
Mailing address
10 ARROWWOOD CT, HOWELL, NJ 07731-5027
(732) 303-8190
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA074104
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
9001701
—
NJ
Enumeration date
08/10/2006
Last updated
07/08/2007
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