Organization
ALPHA MEDICAL GROUP INC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
ANDREY MILVIDSKIY (PRESIDENT)
(201) 696-0926
Entity
Organization
Contact information
Practice address
743 PEPPERIDGE RD, MAHWAH, NJ 07430-3452
(201) 399-2217
Mailing address
743 PEPPERIDGE RD, MAHWAH, NJ 07430-3452
(201) 399-2217
Taxonomy
Speciality
Code
Description
License number
State
293D00000X
Physiological Laboratory
Primary
—
—
Other
Enumeration date
10/06/2009
Last updated
02/15/2010
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