Individual
ANA IVKOVIC
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
55 FRUIT ST, WARREN 605, BOSTON, MA 02114-2621
(617) 726-1453
Mailing address
55 FRUIT ST, WARREN 605, BOSTON, MA 02114-2621
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
245980
MA
Other
Enumeration date
04/23/2008
Last updated
07/11/2013
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