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Individual

OLGA DVORZHINSKIY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
1 ROBERT WOOD JOHNSON PL, DEPARTMENT OF PATHOLOGY, NEW BRUNSWICK, NJ 08901-1928
(732) 828-3000
Mailing address
66 W GILBERT ST, 2ND FLOOR, TINTON FALLS, NJ 07701-4947
(732) 212-0051
(732) 212-0713

Taxonomy

Speciality
Code
Description
License number
State
207ZP0101X
Anatomic Pathology Physician
Primary
MA075676
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0106186
NJ
01
5-547-317-8
ECFMG
Enumeration date
07/26/2006
Last updated
02/04/2008
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