Darenkov, Ivan A

Darenkov, Ivan A is an individual health care provider with primary practice located at 510 Hamburg Tpke Suite 103, Wayne NJ 07470-2025. He recently has 3 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Emergency Medicine, Allopathic & Osteopathic Physicians / Pediatrics, Allopathic & Osteopathic Physicians / Pediatric Gastroenterology. Allopathic & Osteopathic Physicians / Pediatric Gastroenterology is his primary health care specialty. Darenkov, Ivan A can be contacted via phone (845) 341-0264.

Contact Information

Primary practice address
510 Hamburg Tpke Suite 103 Wayne NJ 07470-2025
Phone: (845) 341-0264
Fax: (845) 343-0962
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Emergency Medicine 207P00000X 25MA08165200 New Jersey
Allopathic & Osteopathic Physicians / Pediatrics 208000000X 25MA08165200 New Jersey
Allopathic & Osteopathic Physicians / Pediatric Gastroenterology 2080P0206X 25MA08165200 New Jersey

Profile Details

NPI number 1710172853
LBN Legal business name Darenkov, Ivan A
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 12th, 2007
Last updated Jun 30th, 2020 - about 4 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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