Individual
IRINA GAVDANOVICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
170 PROSPECT AVE STE 1, HACKENSACK, NJ 07601-1834
(201) 820-3596
Mailing address
170 PROSPECT AVE STE 1, HACKENSACK, NJ 07601-1834
(201) 820-3596
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00959500
NJ
Other
Enumeration date
09/12/2017
Last updated
09/29/2020
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