Individual
BORIS VEYSMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
23 GREAT BRIDGE RD, FREEHOLD, NJ 07728-5451
(516) 500-1911
Mailing address
23 GREAT BRIDGE RD, FREEHOLD, NJ 07728-5451
(516) 500-1911
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA08202500
NJ
207Q00000X
Family Medicine Physician
25MA08202500
NJ
207R00000X
Internal Medicine Physician
25MA08202500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0129569
—
NJ
Enumeration date
01/14/2007
Last updated
12/11/2024
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