Active NPIIndividual provider

Dr. Alexander Ivanov, MD

Internal Medicine, Clinical Cardiac Electrophysiology in Bridgewater, New Jersey

NPI Number1770583163
Practice location
465 Union Ave, Bridgewater, NJ 08807-3196
Fax
908-722-4638
Last updated
June 30, 2015

Alexander Ivanov is an Internal Medicine, Clinical Cardiac Electrophysiology based in Bridgewater, NJ. Alexander Ivanov practices in Bridgewater, NJ and has the professional credentials of MD. The NPI Number for Alexander Ivanov is 1770583163 and holds a License No. 25MA073897 (NJ). The current practice location address for Alexander Ivanov is 465 Union Ave, Bridgewater, NJ 08807-3196 and can be reached out via phone at 908-722-6410 and via fax at 908-722-4638.

Provider Profile Details

NPI Number
1770583163
Provider Name
Alexander Ivanov
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
465 Union Ave, Bridgewater, NJ 08807-3196
Phone Number
908-722-6410
Fax Number
908-722-4638
Sole Proprietor
No
Provider Enumeration Date
July 28, 2005
Last Update Date
June 30, 2015
NPI Status
Active

Provider Business Practice Location Address Details

Address
465 Union Ave
Bridgewater, NJ 08807-3196
Zip
08807-3196
Phone Number
908-722-6410
Fax Number
908-722-4638
Bridgewater, NJ 08807Get directions →

Provider Business Mailing Address Details

Address
465 Union Ave
Bridgewater, NJ 08807-3196
City
Bridgewater
State
NJ
Zip
08807-3196
Phone Number
908-722-6410
Fax Number
908-722-4638

License Information

License Number
25MA073897
License State
NJ

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Alexander Ivanov, MD?

The NPI number of Dr. Alexander Ivanov, MD is 1770583163. It was assigned on July 28, 2005 and is currently active in the NPPES registry.

What is the specialty of Dr. Alexander Ivanov, MD?

Dr. Alexander Ivanov, MD is registered under the primary taxonomy Internal Medicine, Clinical Cardiac Electrophysiology (code 207RC0001X), licensed in NJ under license number 25MA073897.

Where does Dr. Alexander Ivanov, MD practice?

The practice location is 465 Union Ave, Bridgewater, NJ 08807-3196. The office can be reached at 908-722-6410 (phone) or 908-722-4638 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1770583163 directly on the NPPES registry website.

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