Boris Kholdarov, MD
Preventive Medicine, Occupational Medicine in Piscataway, New Jersey
1578000519- Practice location
- 170 Frelinghuysen RD, Room 212, Piscataway, NJ 08854-8020
- Phone
- 848-445-6071
- Fax
- —
- Last updated
- January 29, 2017
Boris Kholdarov is a Preventive Medicine, Occupational Medicine based in Piscataway, NJ. Boris Kholdarov practices in Piscataway, NJ and has the professional credentials of MD. The NPI Number for Boris Kholdarov is 1578000519 and holds a License No. 25MA09991600 (NJ). The current practice location address for Boris Kholdarov is 170 Frelinghuysen RD, Room 212, Piscataway, NJ 08854-8020 and can be reached out via phone at 848-445-6071.
Provider Profile Details
- NPI Number
- 1578000519
- Provider Name
- Boris Kholdarov
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 170 Frelinghuysen RD, Room 212, Piscataway, NJ 08854-8020
- Phone Number
- 848-445-6071
- Primary Taxonomy
- Preventive Medicine, Occupational Medicine · 2083X0100X
- Sole Proprietor
- No
- Provider Enumeration Date
- January 29, 2017
- Last Update Date
- January 29, 2017
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 170 Frelinghuysen RD
Room 212
Piscataway, NJ 08854-8020 - City
- Piscataway
- State
- New Jersey
- Zip
- 08854-8020
- Phone Number
- 848-445-6071
Provider Business Mailing Address Details
- Address
- 170 Frelinghuysen RD
Room 212
Piscataway, NJ 08854-8020 - City
- Piscataway
- State
- NJ
- Zip
- 08854-8020
- Phone Number
- 848-445-6071
License Information
- License Number (1)
- 25MA09991600
- License State (1)
- NJ
- Taxonomy (1)
- Preventive Medicine, Occupational Medicine · 2083X0100X · Primary
- License Number (2)
- 287060
- License State (2)
- NY
- Taxonomy (2)
- Preventive Medicine, Occupational Medicine · 2083X0100X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Preventive Medicine, Occupational Medicine providers near Piscataway, NJ
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Frequently Asked Questions
What is the NPI number of Boris Kholdarov, MD?
The NPI number of Boris Kholdarov, MD is 1578000519. It was assigned on January 29, 2017 and is currently active in the NPPES registry.
What is the specialty of Boris Kholdarov, MD?
Boris Kholdarov, MD is registered under the primary taxonomy Preventive Medicine, Occupational Medicine (code 2083X0100X), licensed in NJ under license number 25MA09991600.
Where does Boris Kholdarov, MD practice?
The practice location is 170 Frelinghuysen RD, Room 212, Piscataway, NJ 08854-8020. The office can be reached at 848-445-6071 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578000519 directly on the NPPES registry website.