CENTRAL PARK MEDICAL PRACTICE, PC
Medical Practice at Kennedy Blvd, Bergen Point, NJ

License number
New Jersey 245082
Category
Medical Practice
Type
Obstetrics & Gynecology
Owner
Name: SHAHNOZ RUSTAMOVA MD
Title: PRESIDENT
Phone: (646) 391-3414
Address
Address
280 Kennedy Blvd, Bergen Point, NJ 07002
National Provider ID: 1972771855
LicenseFiles verified this license of Nov 7, 2017 at the National Plan and Provider Enumeration System.

Organization information

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CENTRAL PARK MEDICAL PRACTICE PC

Bergen Point, NJ  -  New York, NY

Status:
Inactive
Industry:
Health/Allied Services
Doing business as:
Central Park Medical Practice
Registration:
Jan 15, 2008
Addresses:
280 Kennedy Blvd, Bayonne, NJ 07002 (Physical)
134 W 58 St` 102, New York, NY 10019 (Physical)
State ID:
3618082
Business type:
DOMESTIC PROFESSIONAL CORPORATION
President, Principals:
Md Shahnoz Rustamova, 134 W 58 St 102, New York, NY 10019 (Physical),Shahnoz Rustamova (President, Principal)

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