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1982862645
VLADIMIR IVANOVICH PROUDAN
MORRISTOWN, NJ
NPI
1982862645
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
207R00000X Internal Medicine
(Licence: PA MD439983)
Enumeration Date
2008-05-29
Last Update Date
2016-02-06
Business Address
-- VLADIMIR IVANOVICH PROUDAN MD
435 SOUTH ST SUITE 330
MORRISTOWN, NJ 07960-6422
Phone number: 973-971-7166
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Mailing Address
-- VLADIMIR IVANOVICH PROUDAN MD
PO BOX 416457
BOSTON, MA 02241-6457
Phone number:
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