Organization
IGOR M POVZHITKOV M D P C
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR M POVZHITKOV M.D. (PRESIDENT)
(201) 218-6439
Entity
Organization
Contact information
Practice address
343 ELLEN PL, PARAMUS, NJ 07652-5506
(201) 218-6439
Mailing address
343 ELLEN PL, PARAMUS, NJ 07652-5506
(201) 218-6439
Taxonomy
Speciality
Code
Description
License number
State
261QA1903X
Ambulatory Surgical Clinic/Center
Primary
23278
NJ
Other
Enumeration date
08/07/2007
Last updated
08/08/2007
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