| Doctor Name: | DR. AVA SLATKIN |
| NPI Number: | 1346439973 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | MD |
| License Number: | MA43254 |
| Business Practice Address: | 2000 Galloping Hill Rd K-16 Employee Health Services Kenilworth, NJ - 070331310 |
| Business Phone Number: | 9082982818 |
| Business Fax Number: | 9082982834 |
| Mailing Address: | 8 Cresthill Rd, VERONA |
| State: | NJ |
| Postal Code: | 070441313 |
| Phone Number: | 9738571816 |
| Fax Number: | |
| NPI Enumeration Date: | 10/19/2007 |
| NPI Last Update Date: | 10/19/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 261QC1800X |
| License Number: | MA43254 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | NJ |
| Taxonomy Type: | Ambulatory Health Care Facilities |
| Taxonomy Classification: | Clinic/Center |
| Taxonomy Specialization: | Corporate Health |
| Taxonomy Definition: | |