Ivchenko, Ludmila

Ivchenko, Ludmila is an sole proprietor health care provider with primary practice located at One Hospital Plaza , Old Bridge NJ 08857-3087. She recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Internal Medicine, Allopathic & Osteopathic Physicians / General Practice. Allopathic & Osteopathic Physicians / Internal Medicine is her primary health care specialty. Ivchenko, Ludmila can be contacted via phone (732) 360-4019.

Contact Information

Primary practice address
One Hospital Plaza Old Bridge NJ 08857-3087
Phone: (732) 360-4019
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 25MA07409900 New Jersey
Allopathic & Osteopathic Physicians / General Practice 208D00000X 25MA07409900 New Jersey

Profile Details

NPI number 1720070345
LBN Legal business name Ivchenko, Ludmila
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Aug 19th, 2005
Last updated Feb 22nd, 2008 - about 17 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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Identifiers

StateTypeNumberIssuer
All States NPI 1720070345 NPPES
New Jersey MEDICAID 0069736

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