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NPI Code Detail

MEDICARE: ALEKSEY NOVAKHOV DDS

MEDICARE:   ALEKSEY  NOVAKHOV  DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1122300000XDentist22DI02059900NJ

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
1MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number : 1023008091
Entity Type Code : Individual
Provider Name (Legal Business Name) : ALEKSEY NOVAKHOV DDS
Provider Business Mailing Address
First Line : 14 WINFIELD SCOTT PLZ
Second Line :
City : ELIZABETH
State : NJ
Zip : 07201-2443
Country : US
Telephone Number : 908-353-5400
Fax Number : 908-353-7273
Provider Business Practice Location Address
First Line : 611 JEFFERSON AVE
Second Line :
City : ELIZABETH
State : NJ
Zip : 07201-1203
Country : US
Telephone Number : 908-353-5400
Fax Number : 908-353-7273
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/21/2005
Last Update Date : 07/08/2007

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Directions to “ ALEKSEY NOVAKHOV DDS” Practice Location

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