Organization
DOVER FOOT CARE
Active
Organization
DOVER FOOT CARE
Active
Other names
raymond ivanovs, d.p.m.
Organization subpart
No
Provider details
NPI number
Authorized official
DR. RAY IVANOVS DPM (OWNER)
(973) 366-8000
Entity
Organization
Contact information
Practice address
387 W BLACKWELL ST, DOVER, NJ 07801-2520
(973) 366-8000
(973) 442-1300
Mailing address
387 W BLACKWELL ST, DOVER, NJ 07801-2520
(973) 366-8000
(973) 442-1300
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0046710
—
NJ
Enumeration date
08/09/2006
Last updated
01/15/2008
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