Organization
IVY PEDIATRICS, PA
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IGOR TROGAN MD (PRESIDENT)
(732) 972-9525
Entity
Organization
Contact information
Practice address
220 BRIDGE PLAZA DR, MANALAPAN, NJ 07726-1729
(732) 972-9525
(732) 972-9055
Mailing address
220 BRIDGE PLAZA DR, MANALAPAN, NJ 07726-1729
(732) 972-9525
(732) 972-9055
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
25MA075803
NJ
Other
Enumeration date
11/29/2006
Last updated
09/23/2010
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