Provider Demographics
NPI:1861780173
Name:ZHURAVSKY, RUSLAN (DO)
Entity type:Individual
Prefix:
First Name:RUSLAN
Middle Name:
Last Name:ZHURAVSKY
Suffix:
Gender:M
Credentials:DO
Other - Prefix:
Other - First Name:RUSSELL
Other - Middle Name:
Other - Last Name:ZHURAVSKY
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:DO
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:732-851-1131
Is Sole Proprietor?:Yes
Enumeration Date:2011-07-20
Last Update Date:2019-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB09845000207YS0123X
NY285291-1207YS0123X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207YS0123XAllopathic & Osteopathic PhysiciansOtolaryngologyFacial Plastic Surgery