Olga Ivashkov, L.AC.

NPI #1629461348 in Old Tappan, New Jersey

Provider Information

NPI Number: 1629461348
Entity Type: Individual
Name: Olga Ivashkov, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Mar 5, 2015
Last Updated: Mar 5, 2015

Practice Location

Address: 6 PHEASANT RUN
City: Old Tappan
State: New Jersey
ZIP Code: 07675-7476
Phone: (201) 725-1182

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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