Provider Demographics
NPI:1801846829
Name:IMSIROVIC STARCEVIC, DUBRAVKA (MD)
Entity Type:Individual
Prefix:
First Name:DUBRAVKA
Middle Name:
Last Name:IMSIROVIC STARCEVIC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:403 ROUTE 202 STE 200
Mailing Address - Street 2:
Mailing Address - City:FLEMINGTON
Mailing Address - State:NJ
Mailing Address - Zip Code:08822-6037
Mailing Address - Country:US
Mailing Address - Phone:908-923-4499
Mailing Address - Fax:908-923-4011
Practice Address - Street 1:403 ROUTE 202 STE 200
Practice Address - Street 2:
Practice Address - City:FLEMINGTON
Practice Address - State:NJ
Practice Address - Zip Code:08822-6037
Practice Address - Country:US
Practice Address - Phone:908-923-4499
Practice Address - Fax:908-923-4011
Is Sole Proprietor?:No
Enumeration Date:2006-05-11
Last Update Date:2021-01-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA07274800207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ860H509Medicaid
050116MGGMedicare ID - Type Unspecified
NJ860H509Medicaid