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Organization

BORIS MORDKOVICH MD PLASTIC SURGERY, PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. BORIS MORDKOVICH MD (OWNER)
(201) 751-9490
Entity
Organization

Contact information

Practice address
96 LINWOOD PLZ # 307, FORT LEE, NJ 07024-3701
(201) 751-9490
(908) 730-0001
Mailing address
96 LINWOOD PLZ # 307, FORT LEE, NJ 07024-3701
(201) 751-9490
(908) 730-0001

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MA08107700
NJ

Other

Enumeration date
06/22/2009
Last updated
06/22/2009
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