Vitaly Fishbein Md Llc

NPI 1174709653 - Pathology - 207ZP0101X

NPI Details
NPI 1174709653
Enumeration Date 01/15/2008
Last Updated 01/15/2008
Entity Type Healthcare Provider
Active Over 8 years ago
Authorized Information
Name VITALY VITALY
Position PRESIDENT
Phone (973) 736-1112
Fax (973) 736-5590
Practice Location
401 PLEASANT VALLEY WAY
WEST ORANGE NJ, 07052-2935, US
Phone (973) 736-1112
Fax (973) 736-5590
Business Location
401 PLEASANT VALLEY WAY
WEST ORANGE NJ, 07052-2935, US
Phone (973) 736-1112
Fax (973) 736-5590
Toxanomy
Taxonomy Code 207ZP0101X
License State New Jersey
License Number MA07148100
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According to our database, Vitaly Fishbein Md Llc NPI is 1174709653, taxonomy code is 207ZP0101X and license number is MA07148100, license state is located at New Jersey. Vitaly Fishbein Md Llc physically located at 401 Pleasant Valley Way, West Orange NJ, 07052-2935. NPI Number 1033115704 has the healthcare provider type.

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1174709653 NPI number is provided on an as is basis without warranty of any kind. 1174709653 is maintained by the National Plan & Provider Enumeration System. The contents of Vitaly Fishbein Md Llc are for informational purposes only.