Martirosov, Aleksandr

Martirosov, Aleksandr is an individual health care provider with primary practice located at 31-00 Broadway 1St Floor, Fair Lawn NJ 07410-3963. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Family Medicine, Allopathic & Osteopathic Physicians / Addiction Medicine. Allopathic & Osteopathic Physicians / Family Medicine is his primary health care specialty. Martirosov, Aleksandr can be contacted via phone (201) 791-7771.

Contact Information

Primary practice address
31-00 Broadway 1St Floor Fair Lawn NJ 07410-3963
Phone: (201) 791-7771
Fax: (201) 791-7337
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Family Medicine 207Q00000X 25MB06860100 New Jersey
Allopathic & Osteopathic Physicians / Addiction Medicine 207QA0401X 25MB06860100 New Jersey

Profile Details

NPI number 1700931185
LBN Legal business name Martirosov, Aleksandr
Credentials Doctor of Osteopathy (DO)
Entity Individual
Sole proprietor 1 No
Enumeration date Jan 24th, 2007
Last updated Oct 18th, 2010 - about 15 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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