Individual
NATHAN PHUZAYLOF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
CM CERTIFIED MOHEL
Contact information
Practice address
674 CYPRESS AVE, LAKEWOOD, NJ 08701-5310
(347) 217-0265
Mailing address
674 CYPRESS AVE, LAKEWOOD, NJ 08701-5310
(347) 217-0265
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
—
—
Other
Enumeration date
02/12/2026
Last updated
02/12/2026
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