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Individual

DR. ALEXANDER M VITIEVSKY

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) 833-3223
(201) 833-7090
Mailing address
302 UNION ST, HACKENSACK, NJ 07601-4303
(201) 646-0414
(201) 646-0365

Taxonomy

Speciality
Code
Description
License number
State
207RN0300X
Nephrology Physician
Primary
MA07249700
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8550905
NJ
Enumeration date
07/21/2005
Last updated
02/11/2008
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