Individual
MAKSIM IVANOUSKI
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
30B VREELAND RD, SUITE 200 NJ ANESTHESIA ASSOCIATES, LLC, FLORHAM PARK, NJ 07932-1926
(937) 660-9334
Mailing address
24 FALKIRK CT, EDISON, NJ 08817-1948
Taxonomy
Speciality
Code
Description
License number
State
367500000X
Certified Registered Nurse Anesthetist
Primary
26NJ00485700
NJ
Other
Enumeration date
09/13/2013
Last updated
05/20/2014
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