Aleksandr Martirosov
Family Doctor Family Doctor - Addiction Medicine
31-00 Broadway 1st Floor
Fair Lawn
, New Jersey 07410-3963
Aleksandr Martirosov
Family Doctor Family Doctor - Addiction Medicine
31-00 Broadway 1st Floor
Fair Lawn
, New Jersey 07410-3963
(201) 791-7337
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About
Features
Specialties
- Family Doctor
- Family Doctor - Addiction Medicine
Languages spoken
- English
Location
First Address
- Aleksandr Martirosov
- 31-00 Broadway 1st Floor
- Fair Lawn, NJ
- Zip : 07410-3963
- Fax : (201) 791-7337
- Phone : (201) 791-7771
Second Address
- Aleksandr Martirosov
- 31-00 Broadway 1st Floor
- Fair Lawn, NJ
- Zip : 07410-3963
- Fax : (201) 791-7337
- Phone : (201) 791-7771
Reviews
FAQs
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Is Aleksandr Martirosov a sole practitioner?
Is Aleksandr Martirosov accepting new patients?
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 207Q00000X | Family Doctor | 25MB06860100 | NJ |
| N | 207QA0401X | Family Doctor - Addiction Medicine | 25MB06860100 | NJ |
National Provider Identifier
| NPI | 1700931185 |
|---|---|
| Provider Name | Aleksandr Martirosov |
| First Address | Fair Lawn, NJ 07410-3963 |
| Second Address | Fair Lawn, NJ 07410-3963 |
| Gender | M |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 24/01/2007 |
| Last Update Date | 18/10/2010 |
Additional Identifiers
| IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
|---|---|---|
| G65075 | (02) | NJ |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.