Organization
CLINICAL NEUROPHYSIOLOGY & EPILEPSY P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. LYDIA SHAJENKO M.D, PH.D (DIRECTOR/OWNER)
(201) 943-2273
Entity
Organization
Contact information
Practice address
725 RIVER RD STE 106, EDGEWATER, NJ 07020-1170
(201) 943-2273
(201) 215-9548
Mailing address
725 RIVER RD STE 106, EDGEWATER, NJ 07020-1170
(201) 943-2273
(201) 215-9548
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA08061700
NJ
Other
Enumeration date
05/10/2006
Last updated
07/21/2008
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