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Individual

DR. KHATUNA TOPADZE BELOV

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
127 UNION ST, STE 102, RIDGEWOOD, NJ 07450-4436
(201) 857-0066
(201) 857-5038
Mailing address
127 UNION ST, STE 102, RIDGEWOOD, NJ 07450-4436
(201) 445-0033
(201) 857-0453

Taxonomy

Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA07761000
NJ
208D00000X
General Practice Physician
25MA07761000
NJ

Other

Enumeration date
06/18/2005
Last updated
10/02/2023
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