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Organization

NATALYA AVANESOVA LLC

Active
Other names
ANEW MEDICAL LLC
Organization subpart
No

Provider details

NPI number
Authorized official
DR. NATALYA OLEG AVANESOVA M.D. (OWNER)
(732) 677-2505
Entity
Organization

Contact information

Practice address
193 ROUTE 9 STE 1D, MANALAPAN, NJ 07726-3016
(732) 677-2505
(732) 677-2506
Mailing address
193 ROUTE 9 SOUTH, SUITE 1D, MANALAPAN, NJ 07726-3016
(732) 677-2505
(732) 677-2506

Taxonomy

Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary

Other

Enumeration date
05/04/2009
Last updated
07/07/2023
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