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Contact Information

KONSTANTIN PERTSOVSKY, DO
510 HAMBURG TPKE
WAYNE COMMONS, SUITE 101
WAYNE, NJ07470-2025
 Phone: 973-942-6005
 Fax: 973-942-6009
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Internal Medicine

207R00000X 11 Physician/Internal Medicine
 

Family Medicine

207Q00000X 08 Physician/Family Practice
 

Neuromusculoskeletal Medicine & OMM

204D00000X 12 Physician/Osteopathic Manipulative Medicine
Indicates primary specialty

NPI Profile & details for KONSTANTIN PERTSOVSKY · (Male)

NPI # 1306876602
Status Active
Credentials DO (Doctor of Osteopathic)
Entity Individual
Enumeration date 07/03/2006
Last updated 11/06/2014 - About 12 years ago
Sole proprietor 1 No
Identifiers
  • NJ License # 25MB07552900
  • NY License # 214845
  • NJ Medicaid 0157376
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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