Organization
MIKHAEL RUZHIN LTD
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MS. NELLY BAKSHIYEV (PRESIDENT/OWNER)
(201) 797-5355
Entity
Organization
Contact information
Practice address
26-17 BROADWAY, FAIR LAWN, NJ 07410-3821
(201) 797-5355
(201) 791-4995
Mailing address
26-17 BROADWAY, FAIR LAWN, NJ 07410-3821
(201) 797-5355
(201) 791-4995
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
Primary
—
NJ
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0387461
—
NJ
Enumeration date
08/04/2006
Last updated
05/27/2014
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