Pertsovsky, Konstantin

Pertsovsky, Konstantin is an individual health care provider with primary practice located at 510 Hamburg Tpke Wayne Commons, Suite 101, Wayne NJ 07470-2025. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Internal Medicine is his primary health care specialty. Pertsovsky, Konstantin can be contacted via phone (973) 942-6005.

Contact Information

Primary practice address
510 Hamburg Tpke Wayne Commons, Suite 101 Wayne NJ 07470-2025
Phone: (973) 942-6005
Fax: (973) 942-6009
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MB07552900 New Jersey
Allopathic & Osteopathic Physicians / Neuromusculoskeletal Medicine & OMM 204D00000X 214845 New York
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 214845 New York

Profile Details

NPI number 1306876602
LBN Legal business name Pertsovsky, Konstantin
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 3rd, 2006
Last updated Nov 6th, 2014 - about 11 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1306876602 NPPES
New Jersey MEDICAID 0157376

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