Individual
IVAN A DARENKOV
Active
Individual
IVAN A DARENKOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
25MA08165200
NJ
208000000X
Pediatrics Physician
25MA08165200
NJ
2080P0206X
Pediatric Gastroenterology Physician
Primary
25MA08165200
NJ
Other
Enumeration date
09/12/2007
Last updated
06/30/2020
Update your record
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