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1609201268
MAKSIM IVANOUSKI
FLORHAM PARK, NJ
NPI
1609201268
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
367500000X Nurse Anesthetist, Certified Registered
(Licence: NJ 26NJ00485700)
Enumeration Date
2013-09-13
Last Update Date
2014-05-20
Business Address
-- MAKSIM IVANOUSKI
30B VREELAND RD SUITE 200 NJ ANESTHESIA ASSOCIATES, LLC
FLORHAM PARK, NJ 07932-1926
Phone number: 937-660-9334
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Mailing Address
-- MAKSIM IVANOUSKI
24 FALKIRK CT
EDISON, NJ 08817-1948
Phone number:
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