Dr. Victoriya Staab, M.D.
Surgery, Pediatric Surgery in Neptune, NJ. Individual provider (NPI-1).
NPI number1104064971
StatusActive
Last updated in NPPESOct 7, 2022
Details
- NPI
- 1104064971
- Entity type
- Individual (NPI-1)
- Name
- Dr. Victoriya Staab
- Credential
- M.D.
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Jan 31, 2009
- Certification date
- Oct 7, 2022
- Last updated
- Oct 7, 2022
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 2086S0120X | Surgery, Pediatric Surgery | 25MA08883500 | NJ | Yes |
Other names
- Victoriya Chernyavsky (Former Name)
Practice location
19 Davis Ave Fl 4Neptune, NJ 07753-4488
Phone 732-935-0407 · Fax 732-935-0757
Mailing address
19 Davis Ave Fl 4Neptune, NJ 07753-4488
Phone 732-935-0407 · Fax 732-935-0757
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