Provider Demographics
NPI:1063992634
Name:DRZ ENT FACIAL PLASTIC SURGERY PC
Entity type:Organization
Organization Name:DRZ ENT FACIAL PLASTIC SURGERY PC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PHYSICIAN
Authorized Official - Prefix:
Authorized Official - First Name:RUSLAN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZHURAVSKY
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:732-851-1231
Mailing Address - Street 1:1001 HWY 9 STE 107
Mailing Address - Street 2:
Mailing Address - City:HOWELL
Mailing Address - State:NJ
Mailing Address - Zip Code:07731-3301
Mailing Address - Country:US
Mailing Address - Phone:732-851-1231
Mailing Address - Fax:732-851-1131
Practice Address - Street 1:1001 HWY 9 STE 107
Practice Address - Street 2:
Practice Address - City:HOWELL
Practice Address - State:NJ
Practice Address - Zip Code:07731-3301
Practice Address - Country:US
Practice Address - Phone:732-851-1231
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-14
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207YX0905XAllopathic & Osteopathic PhysiciansOtolaryngologyOtolaryngology/Facial Plastic SurgeryGroup - Multi-Specialty