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1063780450
IRINA NOVIKOV
OLD BRIDGE, NJ
NPI
1063780450
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
363LA2200X Nurse Practitioner, Adult Health
(Licence: NY 305809)
Enumeration Date
2011-12-13
Last Update Date
2014-09-03
Business Address
-- IRINA NOVIKOV ANP
3663 ROUTE 9 NORTH, SUITE #103
OLD BRIDGE, NJ 08857
Phone number: 732-970-8700
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Mailing Address
-- IRINA NOVIKOV ANP
3663 ROUTE 9 N STE 103
OLD BRIDGE, NJ 08857-3518
Phone number: 732-970-8700
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