Organization
AVICENNA PAIN TREATMENT GROUP
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER ZHURAVKOV MD (PRESIDENT)
(201) 906-9279
Entity
Organization
Contact information
Practice address
152 POND DR, TOWNSHIP OF WASHINGTON, NJ 07676-5130
(862) 333-8935
(201) 983-6600
Mailing address
PO BOX 110055, NUTLEY, NJ 07110-0901
(862) 333-8935
(201) 983-6600
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
—
—
Other
Enumeration date
06/13/2024
Last updated
06/13/2024
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