Individual
DR. ALLA KATSEVA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
561 CRANBURY RD, SUITE M, EAST BRUNSWICK, NJ 08816-5400
(732) 238-8200
(732) 651-6500
Mailing address
PO BOX 58, EAST BRUNSWICK, NJ 08816-0058
(732) 238-8200
(732) 651-6500
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07544800
NJ
207R00000X
Internal Medicine Physician
25MA07544800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0038431
—
NJ
Enumeration date
05/21/2006
Last updated
02/20/2019
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