MALKHAZI MIKADZE

HACKENSACK, NJ
NPI1033150099
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy208000000X Pediatrics
(Licence: NJ  25MA07954800)
Enumeration Date2006-06-09
Last Update Date2007-07-08
Business Address
Dr. MALKHAZI MIKADZE MD
30 PROSPECT AVE PEDIATRICS DEPT
HACKENSACK, NJ 07601-1914
Phone number: 201-996-2000
Mailing Address
Dr. MALKHAZI MIKADZE MD
224 E NORTHFIELD RD
LIVINGSTON, NJ 07039-4801
Phone number: