Individual provider · NPI-1
Sergei A Pushilin, M.D.
Orthopaedic Surgery · Wall Township, NJ
NPI number1174884779
StatusActive
Last updated in NPPESSep 19, 2023
Details
- NPI
- 1174884779
- Entity type
- Individual (NPI-1)
- Name
- Sergei A Pushilin
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- Enumeration date
- May 31, 2012
- Certification date
- Sep 19, 2023
- Last updated
- Sep 19, 2023
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 207X00000X | Orthopaedic Surgery | 25MA10357500 | NJ | Yes |
| 207XX0801X | Orthopaedic Surgery, Orthopaedic Trauma | 25MA10357500 | NJ |
Practice location
44810 Belmar Blvd, 1st FloorWall Township, NJ 07753-0775
Phone 732-938-6090
Mailing address
2 Worlds Fair DrSomerset, NJ 08873-1369
Phone 732-537-0909 · Fax 732-564-9032
Other practice locations
2 Worlds Fair Dr
Somerset, NJ 08873-1369
Somerset, NJ 08873-1369
Phone 732-537-0909
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