Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
YURIY OLEGOVICH IVANOV, DO
Active Sole ProprietorYURIY OLEGOVICH IVANOV, DO is a Vascular Surgery healthcare provider located in NEW BRUNSWICK, New Jersey. NPI 1790026011 is currently active in the NPPES registry. Verify at CMS.
Vascular Surgery · NEW BRUNSWICK, NJ
Registration Details
- NPI Number
- 1790026011
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Mar 12, 2013 (13.436347275735 yrs)
- Last Updated
- Jan 10, 2025
- Licenses
-
276396 (NY)1790026011 (NJ)
- Sole Proprietor
- Yes
Practice Information
- Address
-
125 PATERSON STNEW BRUNSWICK, NJ, 089011962Browse NJ providers · Browse ZIP 08901
- Phone
- 7322357661
- Fax
- 7322357246
- Primary Specialty
-
Vascular Surgery
208VP0000X
- Additional Specialty
- Vascular Surgery
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.