Individual
MAKSIM PTUSHKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 833-3000
Mailing address
300 WINSTON DR APT 2012, CLIFFSIDE PARK, NJ 07010-3223
(347) 705-2490
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
25MA10730300
NJ
Other
Enumeration date
04/22/2016
Last updated
05/10/2021
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