Individual
DR. JOSEPH IVAN PETRSORIC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
718 TEANECK RD, TEANECK, NJ 07666-4245
(201) 837-0727
Mailing address
3 UNIVERSITY PLZ STE 205, HACKENSACK, NJ 07601-6208
(201) 833-3599
(201) 227-6207
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
25MA10288800
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0628441
—
NJ
Enumeration date
03/29/2013
Last updated
04/03/2025
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