Reznikov, Alisa

Reznikov, Alisa is an individual health care provider with primary practice located at 597 Park Ave , Freehold NJ 07728-2590. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Geriatric Medicine, Allopathic & Osteopathic Physicians / Family Medicine. Allopathic & Osteopathic Physicians / Family Medicine is her primary health care specialty. Reznikov, Alisa can be contacted via phone (732) 294-2540.

Contact Information

Primary practice address
597 Park Ave Freehold NJ 07728-2590
Phone: (732) 294-2540
Fax: (732) 409-2621
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Geriatric Medicine 207RG0300X 25MA10655500 New Jersey
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MA10655500 New Jersey

Profile Details

NPI number 1205288784
LBN Legal business name Reznikov, Alisa
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 7th, 2016
Last updated Apr 10th, 2024 - about 2 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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