Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RC0000X | Internist - Cardiovascular Disease | 25MA09496600 | NJ |
N | 207RI0011X | Interventional Cardiology | 25MA09496600 | NJ |
NPI | 1013103514 |
---|---|
Provider Name | Dr. Vladimir Znamensky |
First Address | Jersey City, NJ 07307-2326 |
Second Address | Jersey City, NJ 07307-2326 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 18/09/2007 |
Last Update Date | 24/01/2017 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0414441 | (05) | NJ |