| Anna J. Lavotshkin, MD, PC | |
|
757 Teaneck Rd Teaneck NJ 07666-4241 | |
| (201) 833-2288 | |
| (201) 833-4441 |
| Full Name | Anna J. Lavotshkin, MD, PC |
|---|---|
| Speciality | Internal Medicine |
| Location | 757 Teaneck Rd, Teaneck, New Jersey |
| Authorized Official Name and Position | Raisa Saltanovich (OFFICE MANAGER) |
| Authorized Official Contact | 2018332288 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anna J. Lavotshkin, MD, PC 757 Teaneck Rd Teaneck NJ 07666-4241 Ph: (201) 833-2288 | Anna J. Lavotshkin, MD, PC 757 Teaneck Rd Teaneck NJ 07666-4241 Ph: (201) 833-2288 |
| NPI Number | 1235429911 |
|---|---|
| Provider Enumeration Date | 04/14/2011 |
| Last Update Date | 04/18/2011 |
| Medicare PECOS PAC ID | 4183809460 |
|---|---|
| Medicare Enrollment ID | O20110502000311 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1235429911 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 54741MA (New Jersey) | Primary |
| Provider Name | Phillip D Rose |
|---|---|
| Provider Type | Practitioner - Physician Assistant |
| Provider Identifiers | NPI Number: 1205021060 PECOS PAC ID: 2466534706 Enrollment ID: I20080125000461 |
| Provider Name | Anna J Lavotshkin |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1467560797 PECOS PAC ID: 6709061088 Enrollment ID: I20110502000348 |
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