Organization
CITIMED NJ PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
TATYANA RABINOVICH (PRACTICE ADMINISTRATOR)
(718) 509-9424
Entity
Organization
Contact information
Practice address
25 KENNEDY BLVD STE 850, EAST BRUNSWICK, NJ 08816-1258
(718) 509-9424
Mailing address
25 KENNEDY BLVD STE 850, EAST BRUNSWICK, NJ 08816-1258
(718) 509-9424
Taxonomy
Speciality
Code
Description
License number
State
207T00000X
Neurological Surgery Physician
Primary
—
—
207X00000X
Orthopaedic Surgery Physician
—
—
261QP3300X
Pain Clinic/Center
—
—
Other
Enumeration date
07/31/2023
Last updated
07/31/2023
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