SearchNew Jersey101YP2500X

Timur Petrishin, PC

NPI 1801521018 · on the registry since 2022

Practice

Address
2185 Lemoine Ave Ste 1g
Fort Lee, NJ 07024
Phone
(877) 959-8180
Fax
(866) 535-3188
Organisation at this address
Vida Care Llc
Tri America Teens
Nicolas Elian, Dds
Tri America Tmsketa
Tri America Infusion
Inferred from a shared address, not stated in the registry.
Clinicians at this address
24

Registry record

Primary taxonomy
101YP2500X
101YP2500X
Licence states on file
NJ
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2022-07-21

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