Individual
MR. DYLAN ZERA-KRUSHINSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
1 NORMAL AVE, MONTCLAIR, NJ 07043-1624
(973) 655-5250
Mailing address
510 MILLER ST # 3, PERTH AMBOY, NJ 08861-3474
(732) 794-3892
Taxonomy
Speciality
Code
Description
License number
State
405300000X
Prevention Professional
Primary
25MT00221400
NJ
Other
Enumeration date
02/15/2017
Last updated
02/15/2017
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