Individual
MARINA AYZENBERG GUTWEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
350 ENGLE ST, ENGLEWOOD, NJ 07631-1808
(201) 894-3480
Mailing address
725 DOWNING ST, TEANECK, NJ 07666-2220
(201) 357-4409
(201) 357-4409
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
043264
CT
2085R0202X
Diagnostic Radiology Physician
235595
NY
2085R0202X
Diagnostic Radiology Physician
Primary
25MA08059300
NJ
Other
Enumeration date
11/09/2005
Last updated
07/08/2007
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