Ivan A Darenkov in Wayne - Pediatric Gastroenterology
Ivan A Darenkov - NPI 1710172853
Ivan A Darenkov is a Pediatric Gastroenterology in Wayne, New Jersey. Ivan A Darenkov practices all healthcare services and medical treatments related to Pediatric Gastroenterology. The NPI Number for Ivan A Darenkov is 1710172853. The last update date is 2020-06-30.
Ivan A Darenkov's current location address is 510 Hamburg Tpke, Wayne, New Jersey. You can contact this provider via phone number 8453410264 and fax number 8453430962. The mailing address for Ivan A Darenkov is 510 Hamburg Tpke, Wayne, New Jersey. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Ivan A Darenkov |
|---|---|
| Address | 510 Hamburg Tpke, Wayne, New Jersey |
| Phone Number | 8453410264 |
| Fax Number | 8453430962 |
| Sole Proprietor | N |
| Credentials | M.D. |
NPI Number Detail
| NPI Number | 1710172853 |
|---|---|
| Provider Enumeration Date | 2007-09-12 |
| Last Updated Date | 2020-06-30 |
Provider Mailing Address Detail
| Address | 510 Hamburg Tpke |
|---|---|
| City | Wayne |
| State | New Jersey (NJ) |
| Post Code | 74702025 |
| Phone Number | 8453410264 |
| Fax Number | 8453430962 |
Provider's Primary Taxonomy Detail
| Speciality | Pediatric Gastroenterology |
|---|---|
| Taxonomy | 2080P0206X |
| Licence No | 25MA08165200 |
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Definition: A pediatrician who specializes in the diagnosis and treatment of diseases of the digestive systems of infants, children and adolescents. This specialist treats conditions such as abdominal pain, ulcers, diarrhea, cancer and jaundice and performs comp |
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What is the unique 10-digit identification code assigned to Ivan A Darenkov by the Centers for Medicare & Medicaid Services?
The Ivan A Darenkov has been issued the NPI (National Provider Identifier) 1710172853, which serves as a unique identifier for healthcare providers, assigned by the Centers for Medicare & Medicaid Services (CMS).
Could you provide the complete address where Ivan A Darenkov is physically located?
The Ivan A Darenkov is situated at the following address: 510 Hamburg Tpke, Wayne, NJ 74702025.
What is the Ivan A Darenkov's specialty and taxonomy code?
The Ivan A Darenkov's specialty is Pediatric Gastroenterology, and the corresponding taxonomy code is 2080P0206X.
On what date did the Centers for Medicare & Medicaid Services assign the 1710172853 to Ivan A Darenkov?
The Centers for Medicare & Medicaid Services assigned the 1710172853 to Ivan A Darenkov on 2007-09-12.
As of what date were the Ivan A Darenkov's details last updated?
The information pertaining to the Ivan A Darenkov, including its address, specialty, and other details, was most recently updated on 2020-06-30.