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Ilja Dejanovic
Student in an Organized Health Care Education/Training Program in Fort Lee, New Jersey
NPI 1841796778

Ilja Dejanovic is a Student in an Organized Health Care Education/Training Program based in Fort Lee, NJ. Ilja Dejanovic practices in Fort Lee, NJ. The NPI Number for Ilja Dejanovic is 1841796778 and holds a License No. (New Jersey).

The current practice location address for Ilja Dejanovic is 2449 1St St, Fort Lee, NJ and can be reached out via phone at 201-655-5440.

Location: 2449 1St St, Fort Lee, NJ, 07024-4001
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1841796778
Provider Name
Ilja Dejanovic
Credential
Provider Entity Type
Individual
Gender
Male
Address
2449 1St St, Fort Lee, NJ, 07024-4001
Phone Number
201-655-5440
Fax Number
Provider Enumeration Date
03/31/2018
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
2449 1St St
City
Fort Lee
State
New Jersey
Zip
07024-4001
Phone Number
201-655-5440
Fax Number
person
Provider Business Mailing Address Details
Address
2449 1St St
City
Fort Lee
State
New Jersey
Zip
07024-4001
Phone Number
201-655-5440
Fax Number
person
Provider's Taxonomy Details 1
Type
Student, Health Care
Classification
Student in an Organized Health Care Education/Training Program
Speciality
-
Taxonomy
390200000X
License No.
()
Definition
An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.
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