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Individual

ISAI I FISHKIN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man

Contact information

Practice address
213 SUMMIT RD, MOUNTAINSIDE, NJ 07092-2316
(908) 654-7979
(908) 654-7979
Mailing address
213 SUMMIT RD, MOUNTAINSIDE, NJ 07092-2316
(908) 654-7979
(908) 654-7979

Taxonomy

Speciality
Code
Description
License number
State
122300000X
Dentist
Primary
DI 15341
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
8436703
NJ
Enumeration date
07/18/2006
Last updated
07/08/2007
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