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:
Health care specialties
| Specialty | Code | License # | 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 6 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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