Healthcare Provider Details

I. General information

NPI: 1306881784
Provider Name (Legal Business Name): ALEXANDER ZHURAVKOV M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 06/18/2006
Last Update Date: 09/11/2025
Certification Date: 11/21/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

63 HAMPSHIRE RD
TOWNSHIP OF WASHINGTON NJ
07676-4527
US

IV. Provider business mailing address

63 HAMPSHIRE RD
TOWNSHIP OF WASHINGTON NJ
07676-4527
US

V. Phone/Fax

Practice location:
  • Phone: 201-906-9279
  • Fax: 201-444-2343
Mailing address:
  • Phone: 201-906-9279
  • Fax: 201-444-2343

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208VP0014X
TaxonomyInterventional Pain Medicine Physician
License Number25MA07549800
License Number StateNJ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: