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Organization
JOSEPH R. IVAN, MD, LLC
Active
Organization
JOSEPH R. IVAN, MD, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. JOSEPH ROBERT IVAN M.D. (MANAGING MEMBER)
(732) 271-1771
Entity
Organization
Contact information
Practice address
110 REHILL AVE, SOMERVILLE, NJ 08876-2519
(908) 429-5817
Mailing address
1982 WASHINGTON VALLEY RD, PO BOX 309, MARTINSVILLE, NJ 08836-2043
(732) 271-1771
(732) 271-9477
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA05501700
NJ
Other
Enumeration date
12/28/2007
Last updated
12/28/2007
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