Search › New Jersey › 363AS0400X
Ekaterina Rezvin, PA-C
NPI 1568943058 · on the registry since 2018
Practice
- Address
- 1680 Route 23 Ste 250
Wayne, NJ 07470 - Phone
- (973) 633-1122
- Fax
- (973) 832-7550
- Organisation at this address
- Pforp Health Llc
Wayne Dental Associates Llc
Jeffrey B. Wise, M.D., L.L.C.
Premier Bariatric New Jersey Pc
North Jersey Neurologic AssociatesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 34
Additional practice sites
- 80 Woodland Park Dr, Tenafly, NJ
Registry record
- Primary taxonomy
- 363AS0400X
363AS0400X
- Also registered as
- 363A00000X
- Licence states on file
- NY, NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Female
- Record last updated
- 2024-09-19
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey