Organization
MEDICINE AND REHABILITATION PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREI LOGVINENKO M.D. (PRESIDENT)
(201) 568-8500
Entity
Organization
Contact information
Practice address
333 SYLVAN AVE STE 111, ENGLEWOOD CLIFFS, NJ 07632-2705
(201) 568-8500
(201) 568-8518
Mailing address
PO BOX 37, FRANKLIN LAKES, NJ 07417-0037
(201) 568-8500
(201) 568-8518
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MA67595
NJ
208100000X
Physical Medicine & Rehabilitation Physician
MA63969
NJ
Other
Enumeration date
05/31/2006
Last updated
01/13/2011
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