Organization
CAREMED PLUS P.C.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ALEXANDER IVANOV MD (OWNER/OPERATOR)
(201) 297-9517
Entity
Organization
Contact information
Practice address
508 HAMBURG TPKE STE 107, WAYNE, NJ 07470-8482
(201) 297-9517
Mailing address
508 HAMBURG TPKE STE 107, WAYNE, NJ 07470-8482
(201) 297-9517
Taxonomy
Speciality
Code
Description
License number
State
2084A0401X
Addiction Medicine (Psychiatry & Neurology) Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1689726374
—
NJ
05
—
1790825222
—
NJ
Enumeration date
09/09/2019
Last updated
09/09/2019
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