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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

VYACHESLAV PASTUKH, APN

Active Sole Proprietor

VYACHESLAV PASTUKH, APN is a Gerontological Nurse Practitioner healthcare provider located in VINELAND, New Jersey. NPI 1457968182 is currently active in the NPPES registry. Verify at CMS.

Gerontological Nurse Practitioner · VINELAND, NJ

Registration Details

NPI Number
1457968182
Provider Type
Individual
Gender
Male
NPI Issued
Sep 27, 2020 (5.8385027599569 yrs)
Last Updated
Sep 27, 2020
License
26NJ01055900 (NJ)
Sole Proprietor
Yes

Practice Information

Address
1100 E CHESTNUT AVE
VINELAND, NJ, 083605002
Browse NJ providers · Browse ZIP 08360
Phone
8566960108
Primary Specialty
Gerontological Nurse Practitioner
363LG0600X

Other Gerontological Nurse Practitioner Providers in VINELAND, NJ

Name Credential NPI
MRS. MELISSA MARGARITA COLLINS APN 1841782455
MRS. EHSAN FARAG AGNP-C 1306727946
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.