ILYA IVANOV

MOUNT LAUREL, NJ
NPI1487848149
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy2084P0800X Psychiatry & Neurology, Psychiatry
(Licence: NJ  025MB8329500)
Enumeration Date2007-09-05
Last Update Date2024-03-14
Business Address
Dr. ILYA IVANOV DO
100 CENTURY PKWY STE 350
MOUNT LAUREL, NJ 08054-1149
Phone number: 856-482-9000
Mailing Address
Dr. ILYA IVANOV DO
100 CENTURY PKWY STE 350
MOUNT LAUREL, NJ 08054-1149
Phone number: 856-482-9000