Individual
DR. ALEXEY TATUSOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 663-0300
(732) 663-0301
Mailing address
11 MERIDIAN RD, EATONTOWN, NJ 07724-2242
(732) 663-0300
(732) 663-0301
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
287819
NY
207R00000X
Internal Medicine Physician
MD453232
PA
207UN0901X
Nuclear Cardiology Physician
Primary
25MA11103200
NJ
Other
Enumeration date
06/22/2012
Last updated
08/23/2021
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