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Ekaterina M Rezvin, PA-C
Surgical Physician Assistant in Wayne, New Jersey
NPI 1568943058

Ekaterina M Rezvin is a Surgical Physician Assistant based in Wayne, NJ and is specialized in Surgical. Ekaterina M Rezvin practices in Wayne, NJ and has the professional credentials of PA-C. The NPI Number for Ekaterina M Rezvin is 1568943058 and holds a License No. 022526 (New Jersey).

The current practice location address for Ekaterina M Rezvin is 1680 Route 23 Ste 250, Wayne, NJ and can be reached out via phone at 973-633-1122 and via fax at 973-832-7550.

Location: 1680 Route 23 Ste 250, Wayne, NJ, 07470-7520
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Provider Profile Details
NPI Number
1568943058
Provider Name
Ekaterina M Rezvin
Credential
PA-C
Provider Entity Type
Individual
Gender
Female
Address
1680 Route 23 Ste 250, Wayne, NJ, 07470-7520
Phone Number
973-633-1122
Fax Number
973-832-7550
Provider Enumeration Date
08/23/2018
Last Update Date
03/10/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
022526 01 NY LICENSE
institution
Provider Business Practice Location Address Details
Address
1680 Route 23 Ste 250
City
State
Zip
07470-7520
Phone Number
973-633-1122
Fax Number
973-832-7550
person
Provider Business Mailing Address Details
Address
1680 Route 23 Ste 250
City
State
Zip
07470-7520
Phone Number
973-633-1122
Fax Number
973-832-7550
person
Provider's Taxonomy Details 1
Type
Physician Assistants & Advanced Practice Nursing Providers
Classification
Physician Assistant
Speciality
Surgical
Taxonomy
License No.
022526 (New York)
Definition
Definition to come...
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