Provider Demographics
NPI:1093984890
Name:YUFIT, PAVEL VLADIMIROVICH (MD)
Entity Type:Individual
Prefix:
First Name:PAVEL
Middle Name:VLADIMIROVICH
Last Name:YUFIT
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:214 STATE ST STE 101
Mailing Address - Street 2:
Mailing Address - City:HACKENSACK
Mailing Address - State:NJ
Mailing Address - Zip Code:07601-5521
Mailing Address - Country:US
Mailing Address - Phone:201-342-7662
Mailing Address - Fax:201-342-7663
Practice Address - Street 1:214 STATE ST STE 101
Practice Address - Street 2:
Practice Address - City:HACKENSACK
Practice Address - State:NJ
Practice Address - Zip Code:07601-5521
Practice Address - Country:US
Practice Address - Phone:201-342-7662
Practice Address - Fax:201-342-7662
Is Sole Proprietor?:No
Enumeration Date:2008-02-26
Last Update Date:2015-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY238313207X00000X
KY41753207X00000X
NJ25MA08716300207X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207X00000XAllopathic & Osteopathic PhysiciansOrthopaedic Surgery