Organization
HIGHLAND MEDICAL GROUP OF NEW JERSEY, PC
Active
Other names
Millennium Medical Group, PC
Organization subpart
No
Provider details
NPI number
Authorized official
MR. ALEXANDR ZAITSEV M.D. (OWNER)
(973) 574-2070
Entity
Organization
Contact information
Practice address
126 STATE ST, FL 1, HACKENSACK, NJ 07601-5448
(973) 574-2070
(973) 574-2090
Mailing address
PO BOX 4125, WAYNE, NJ 07474-4125
(973) 574-2070
(973) 574-2090
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07388400
NJ
Other
Enumeration date
05/10/2011
Last updated
07/12/2016
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