Individual
IVAN JAKIMOVSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD, MPH, DABFM
Contact information
Practice address
225 MINNISINK ROAD, SUITE 103, TOTOWA, NJ 07512
(862) 657-3066
Mailing address
225 MINNISINK ROAD, SUITE 103, TOTOWA, NJ 07512
(862) 657-3066
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MA11029700
NJ
Other
Enumeration date
06/13/2018
Last updated
09/27/2022
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