Individual
ALEKSEY IKHELSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA
Contact information
Practice address
1 CLARA MAASS DR, CLARA MAASS MEDICAL CENTER, BELLEVILLE, NJ 07109-3550
(973) 450-2000
Mailing address
PO BOX 717, LIVINGSTON, NJ 07039-0717
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00169600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1075905
NCCPA NUMBER
NJ
Enumeration date
11/06/2006
Last updated
06/16/2008
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