Individual
YULIYA ZAGORUDKO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
140 BERGEN ST, NEWARK, NJ 07103-2425
(973) 972-9000
Mailing address
18 MARRYOTT ST, MONROE TWP, NJ 08831-1654
(917) 587-8648
Taxonomy
Speciality
Code
Description
License number
State
363AS0400X
Surgical Physician Assistant
Primary
25MP00777600
NJ
Other
Enumeration date
07/11/2023
Last updated
07/11/2023
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