Interventionalmd Llc | |
107 Monmouth Rd Ste 102 West Long Branch NJ 07764-1021 | |
(732) 641-3350 | |
(732) 333-6324 |
Full Name | Interventionalmd Llc |
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Speciality | Clinic/center - Multi-specialty |
Location | 107 Monmouth Rd Ste 102, West Long Branch, New Jersey |
Authorized Official Name and Position | Boris Volshteyn (CEO) |
Authorized Official Contact | 7326413350 |
Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
Mailing Address | Practice Location Address |
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Interventionalmd Llc 107 Monmouth Rd Ste 102 West Long Branch NJ 07764-1021 Ph: (732) 641-3350 | Interventionalmd Llc 107 Monmouth Rd Ste 102 West Long Branch NJ 07764-1021 Ph: (732) 641-3350 |
NPI Number | 1124652250 |
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Provider Enumeration Date | 02/27/2020 |
Last Update Date | 02/27/2020 |
Identifier | Type | State | Issuer |
---|---|---|---|
1124652250 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
261QM1300X | Clinic/center - Multi-specialty | (* (Not Available)) | Primary |
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