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:
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Health care specialties

SpecialtyCodeLicense #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 11 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 1770583163 NPPES
New Jersey MEDICAID 8916403

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