Search › New Jersey › Psychiatry Physician
Ilya Ivanov, DO
NPI 1487848149 · on the registry since 2007
Practice
- Address
- 100 Century Pkwy Ste 350
Mount Laurel, NJ 08054 - Phone
- (856) 482-9000
- Fax
- (856) 482-1159
- Organisation at this address
- Virtua Medical Group, Pa
Blackbird Clinical ServicesInferred from a shared address, not stated in the registry. - Clinicians at this address
- 38
Registry record
- Primary taxonomy
- Psychiatry Physician
2084P0800X
- Licence states on file
- NJ
From the registry's licence fields, which are often incomplete.
- Sex
- Male
- Record last updated
- 2024-03-14
Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in New Jersey