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Organization

MAG GROUP PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ALEXANDER ZAITSEV MD (OWNER)
(973) 907-2358
Entity
Organization

Contact information

Practice address
25 KNOLL RD, WAYNE, NJ 07470-6125
(862) 226-9549
Mailing address
25 KNOLL RD, WAYNE, NJ 07470-6125

Taxonomy

Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA07388400
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MA07388400
NJ LICENSE
NJ
Enumeration date
02/18/2009
Last updated
02/18/2009
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