Individual
ILYA OSTROVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
185 S ORANGE AVE, MEDICAL SCIENCE BUILDING - E609, NEWARK, NJ 07103-2757
(973) 972-9261
Mailing address
185 S ORANGE AVE, MEDICAL SCIENCE BUILDING - E609, NEWARK, NJ 07103-2757
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MA09859200
NJ
Other
Enumeration date
03/31/2012
Last updated
05/03/2016
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