Oleg Rivkin PA-C

NPI 1164541165 - Physician Assistant - 363AS0400X

NPI Details
NPI 1164541165
Gender Male
Enumeration Date 03/29/2007
Last Updated 12/04/2012
Entity Type Individual
Active Over 9 years ago
Practice Location
680 KINDERKAMACK RD
SUITE 300
ORADELL NJ, 07649-1600, US
Phone (201) 741-2550
Fax (201) 342-7171
Business Location
680 KINDERKAMACK RD
SUITE 300
ORADELL NJ, 07649-1600, US
Phone (201) 741-2550
Fax (201) 342-7171
Toxanomy
Taxonomy Code 363AS0400X
License State New York
License Number 009405
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According to our database, Oleg Rivkin PA-C NPI is 1164541165, taxonomy code is 363AS0400X and license number is 009405, license state is located at New York. Oleg Rivkin PA-C physically located at 680 Kinderkamack Rd, Oradell NJ, 07649-1600. NPI Number Oleg Rivkin PA-C has the Individual type.

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1164541165 NPI number is provided on an as is basis without warranty of any kind. 1164541165 is maintained by the National Plan & Provider Enumeration System. The contents of Oleg Rivkin PA-C are for informational purposes only.