VYACHESLAV PASTUKH

VINELAND, NJ
NPI1457968182
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363LG0600X Nurse Practitioner, Gerontology
(Licence: NJ  26NJ01055900)
Enumeration Date2020-09-27
Last Update Date2020-09-27
Business Address
VYACHESLAV PASTUKH APN
1100 E CHESTNUT AVE
VINELAND, NJ 08360-5002
Phone number: 856-696-0108
Mailing Address
VYACHESLAV PASTUKH APN
1882 WYNNEWOOD DR
VINELAND, NJ 08361-6771
Phone number: 856-777-3968
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