Roman Mazurov
NPI #1114630167 in Lyndhurst, New Jersey
Provider Information
- NPI Number
- 1114630167
- Entity Type
- Individual
- Name
- Roman Mazurov
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physical Therapy Assistant
- Enumeration Date
- Jan 4, 2023
- Last Updated
- Jan 4, 2023
Practice Location
- Address
- 70 RIDGE RD
- City
- Lyndhurst
- State
- New Jersey
- ZIP Code
- 07071-1216
- Phone
- (201) 992-0183
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapy Assistant |
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| Maddisen Melley | |
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