Ivanov, Alexander
Ivanov, Alexander is an individual health care provider with primary practice located at 465 Union Ave , Bridgewater NJ 08807-3196. He recently has only one registered license in Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology, which is considered as his primary health care specialty. Ivanov, Alexander can be contacted via phone (908) 722-6410.Contact Information
Primary practice address
465 Union Ave
Bridgewater NJ 08807-3196
Phone: (908) 722-6410
Fax: (908) 722-4638
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Clinical Cardiac Electrophysiology | 207RC0001X | 25MA073897 | New Jersey |
Profile Details
| NPI number | 1770583163 |
|---|---|
| LBN Legal business name | Ivanov, Alexander |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 28th, 2005 |
| Last updated | Jun 30th, 2015 - about 9 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.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1770583163 | NPPES |
| New Jersey | MEDICAID | 8916403 |
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