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1225667355
ROMAN POVOLOTSKIY
NEWARK, NJ
NPI
1225667355
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
390200000X Student in an Organized Health Care Education/Training Program
Enumeration Date
2020-04-01
Last Update Date
2020-04-01
Business Address
ROMAN POVOLOTSKIY MD
90 BERGEN ST STE 8100
NEWARK, NJ 07103-2425
Phone number: 973-972-2548
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Mailing Address
ROMAN POVOLOTSKIY MD
90 BERGEN ST STE 8100
NEWARK, NJ 07103-2425
Phone number: 973-972-2548
Copy
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