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1396164893
NIKOLAY BOGUSH
RIDGEWOOD, NJ
NPI
1396164893
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207RC0000X Internal Medicine, Cardiovascular Disease
(Licence: NJ 25MA11396900)
Enumeration Date
2014-04-11
Last Update Date
2024-03-08
Business Address
NIKOLAY BOGUSH
1200 E RIDGEWOOD AVE
RIDGEWOOD, NJ 07450-3957
Phone number: 410-328-6110
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Mailing Address
NIKOLAY BOGUSH
1200 E RIDGEWOOD AVE STE 309
RIDGEWOOD, NJ 07450-3937
Phone number: 201-689-9400
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