Doctor Name: | BORIS VOLSHTEYN |
NPI Number: | 1033107669 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 25MA09156500 |
Business Practice Address: | 561 Cranbury Rd Ste F East Brunswick, NJ - 088165400 |
Business Phone Number: | 7326413350 |
Business Fax Number: | |
Mailing Address: | 561 Cranbury Rd, Ste F EAST BRUNSWICK |
State: | NJ |
Postal Code: | 088165400 |
Phone Number: | 7326413350 |
Fax Number: | |
NPI Enumeration Date: | 10/07/2005 |
NPI Last Update Date: | 01/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2086S0122X |
License Number: | 25MA09156500 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Allopathic & Osteopathic Physicians |
Taxonomy Classification: | Surgery |
Taxonomy Specialization: | Plastic and Reconstructive Surgery |
Taxonomy Definition: | A surgeon who specializes in plastic and reconstructive surgery. |