Organization
SVS MEDICAL PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
VADIM SURIKOV MD (OWNER)
(201) 224-5402
Entity
Organization
Contact information
Practice address
200 WINSTON DR APT 805, CLIFFSIDE PARK, NJ 07010-3214
(201) 224-5402
Mailing address
200 WINSTON DR APT 805, CLIFFSIDE PARK, NJ 07010-3214
(201) 224-5402
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MB07578900
LICENSE
NJ
Enumeration date
09/30/2008
Last updated
09/30/2008
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