Provider Demographics
NPI:1699802736
Name:DRESSNER, IVAN RICHARD (MD)
Entity type:Individual
Prefix:
First Name:IVAN
Middle Name:RICHARD
Last Name:DRESSNER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 E NORTHFIELD RD
Mailing Address - Street 2:SUITE # 2-A
Mailing Address - City:LIVINGSTON
Mailing Address - State:NJ
Mailing Address - Zip Code:07039-4892
Mailing Address - Country:US
Mailing Address - Phone:973-994-3322
Mailing Address - Fax:973-994-9191
Practice Address - Street 1:340 E NORTHFIELD RD
Practice Address - Street 2:SUITE # 2-A
Practice Address - City:LIVINGSTON
Practice Address - State:NJ
Practice Address - Zip Code:07039-4892
Practice Address - Country:US
Practice Address - Phone:973-994-3322
Practice Address - Fax:973-994-9191
Is Sole Proprietor?:No
Enumeration Date:2007-02-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ219432084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJC60832Medicare UPIN