Doctor Name: | MR. ALEKSANDAR ANTHONY IVANOVSKI |
NPI Number: | 1083912497 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | APN |
License Number: | 26NJ00319800 |
Business Practice Address: | 7600 River Rd North Bergen, NJ - 070476217 |
Business Phone Number: | 2018545000 |
Business Fax Number: | |
Mailing Address: | 49 Graham Ter, SADDLE BROOK |
State: | NJ |
Postal Code: | 076634512 |
Phone Number: | 2017738399 |
Fax Number: | |
NPI Enumeration Date: | 03/09/2011 |
NPI Last Update Date: | 03/09/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363LA2200X |
License Number: | 26NJ00319800 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Nurse Practitioner |
Taxonomy Specialization: | Adult Health |
Taxonomy Definition: |