Individual
ISAIAH FLORENCE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
222 CEDAR LN, SUITE 210, TEANECK, NJ 07666-4314
(201) 287-1100
(201) 586-0409
Mailing address
222 CEDAR LN, SUITE 210, TEANECK, NJ 07666-4314
(201) 287-1100
(201) 586-0409
Taxonomy
Speciality
Code
Description
License number
State
207LP2900X
Pain Medicine (Anesthesiology) Physician
Primary
25MA06705700
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
050061049
RAILROAD MEDICARE
NJ
05
—
8432309
—
NJ
Enumeration date
01/15/2006
Last updated
04/15/2015
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