Individual
DR. ALEXANDER IVANOV
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
465 UNION AVE, BRIDGEWATER, NJ 08807-3196
(908) 722-6410
(908) 722-4638
Mailing address
465 UNION AVE, BRIDGEWATER, NJ 08807-3196
(908) 722-6410
(908) 722-4638
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
25MA073897
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8916403
—
NJ
Enumeration date
07/28/2005
Last updated
06/30/2015
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