Individual
IVAN R PIERRA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
ATC
Contact information
Practice address
24 MELANIE LN, WHIPPANY, NJ 07981-1637
(562) 505-7598
Mailing address
24 MELANIE LN, WHIPPANY, NJ 07981-1637
(562) 505-7598
Taxonomy
Speciality
Code
Description
License number
State
2083S0010X
Sports Medicine (Preventive Medicine) Physician
Primary
25MT00277600
NJ
Other
Enumeration date
01/19/2021
Last updated
01/19/2021
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