Individual
ALEXANDER ITSKOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
225 MAY ST STE A, EDISON, NJ 08837-3266
(732) 346-5400
(732) 346-5404
Mailing address
2693 ARKANSAS DR, BROOKLYN, NY 11234-6833
(718) 513-1620
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
25MA09448600
NJ
Other
Enumeration date
05/15/2009
Last updated
04/12/2017
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