Individual
DR. JOSEPH ROBERT IVAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
1 BAY AVE, MONTCLAIR, NJ 07042-4837
(973) 429-6930
(973) 429-6209
Mailing address
PO BOX 419430, BOSTON, MA 02241-9430
(201) 666-3900
(201) 261-0505
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
Primary
25MA05501700
NJ
Other
Enumeration date
02/24/2006
Last updated
04/24/2017
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