Organization
MINIMALLY INVASIVE SURGICAL ASSOC. OF NJ LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. YELIZAVETA DOBRUSKIN M.D. (OWNER)
(347) 426-6146
Entity
Organization
Contact information
Practice address
3100 QUAKERBRIDGE RD, HAMILTON, NJ 08619-1658
(347) 426-6146
Mailing address
176 SHINNECOCK DR, MANALAPAN, NJ 07726-9511
(347) 426-6146
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA08100700
NJ
Other
Enumeration date
07/20/2009
Last updated
07/20/2009
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