Individual
DR. BORIS JAROSLAW FEDORCIW
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
254 EASTON AVE, 5TH FLOOR, MEDICAL OFFICE BUILDING, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8534
(732) 220-8595
Mailing address
254 EASTON AVE, 5TH FLOOR, MEDICAL OFFICE BUILDING, NEW BRUNSWICK, NJ 08901-1766
(732) 745-8534
(732) 220-8595
Taxonomy
Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
25MA05349200
NJ
Other
Enumeration date
08/07/2006
Last updated
07/08/2007
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