Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | 253888 | NY |
N | 111NI0900X | Internist | 253888 | NY |
Y | 207R00000X | Internist | 25MA09608800 | NJ |
Y | 111NI0900X | Internist | 25MA09608800 | NJ |
N | 207R00000X | Internist | D0075345 | MD |
N | 111NI0900X | Internist | D0075345 | MD |
NPI | 1003090275 |
---|---|
Provider Name | Dr. Alexandr Zaslavsky |
First Address | Glen Allen, VA 23060-9263 |
Second Address | Cherry Hill, NJ 08002-2733 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/12/2007 |
Last Update Date | 23/03/2018 |