MRS. Marina Yeruslanov

NPI #1689927899 in New Milford, New Jersey

Provider Information

NPI Number: 1689927899
Entity Type: Individual
Name: MRS. Marina Yeruslanov
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Specialist
Enumeration Date: Oct 25, 2012
Last Updated: Oct 25, 2012

Practice Location

Address: 1 WESTLEY LN
City: New Milford
State: New Jersey
ZIP Code: 07646-3200
Phone: (201) 483-3407

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Specialist	174400000X	Primary

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