Organization
CENTRAL PARK MEDICAL PRACTICE, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
SHAHNOZ RUSTAMOVA MD (PRESIDENT)
(646) 391-3414
Entity
Organization
Contact information
Practice address
280 KENNEDY BLVD, BAYONNE, NJ 07002-1234
(464) 391-3414
Mailing address
280 KENNEDY BLVD, BAYONNE, NJ 07002-1234
(464) 391-3414
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
245082
NY
Other
Enumeration date
02/13/2008
Last updated
09/04/2008
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