Individual
ARTUR IVCHENKO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
(732) 840-2200
Mailing address
425 JACK MARTIN BLVD, BRICK, NJ 08724-7732
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA11302300
NJ
208600000X
Surgery Physician
Primary
296043
NY
Other
Enumeration date
05/22/2015
Last updated
06/09/2026
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