Provider Detail for 1295298925
OLGA VITIV
Gender: F
Mailing Address:
23 MAIN ST STE 1D
HOLMDEL, NJ 07733-2136
Physical Address:
23 MAIN ST STE 1D
HOLMDEL, NJ 07733-2136
Phone: 732-818-6883
Taxonomy
Physician Assistants & Advanced Practice Nursing Providers/Nurse Practitioner, Family
(Primary Specialty)
State: NJ License: 26NJ00915100
Last Update: 04/10/2019
Provider Enrollment, Chain and Ownership System (PECOS)
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This NPI is eligible to order and refer in the Medicare program - they have a record in the PECOS database (click here for more info). |
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