Individual
DR. MIKHAIL A BOTVINOV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.O.
Contact information
Practice address
260 OLD HOOK ROAD,, SUITE 303A, WESTWOOD, NJ 07675-3123
(201) 778-5344
(201) 778-5399
Mailing address
23 ROBYN CT, EMERSON, NJ 07630-1464
(201) 693-2653
(201) 778-5399
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MB08725300
NJ
Other
Enumeration date
06/07/2007
Last updated
06/17/2020
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