Sergey Medlenov D.O.

NPI 1164628392 - Student in an Organized Health Care Education/Training Program - 390200000X

NPI Details
NPI 1164628392
Gender Male
Enumeration Date 06/25/2007
Last Updated 07/11/2007
Entity Type Individual
Active Over 9 years ago
Practice Location
18 LAUREL ROAD
STRATFORD NJ, 08084-1801, US
Phone (856) 346-7985
Fax
Business Location
18 LAUREL ROAD
STRATFORD NJ, 08084-1801, US
Phone (856) 346-7985
Fax
Toxanomy
Taxonomy Code 390200000X
License State
License Number
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According to our database, Dr. Sergey Medlenov D.O. NPI is 1164628392, taxonomy code is 390200000X Sergey Medlenov D.O. physically located at 18 Laurel Road, Stratford NJ, 08084-1801. NPI Number Sergey Medlenov D.O. has the Individual type.

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1164628392 NPI number is provided on an as is basis without warranty of any kind. 1164628392 is maintained by the National Plan & Provider Enumeration System. The contents of Sergey Medlenov D.O. are for informational purposes only.