Organization
GRACE MEDICAL ASSOCIATION CORPORATION
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ANDREA G. P. ISAACS M.D. (OWNER)
(201) 569-9090
Entity
Organization
Contact information
Practice address
192 PROSPECT AVE, HACKENSACK, NJ 07601-2204
(201) 569-9090
(201) 569-1919
Mailing address
192 PROSPECT AVE, HACKENSACK, NJ 07601-2204
(201) 569-9090
(201) 569-1919
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
25MA0762130
NJ
Other
Enumeration date
08/22/2011
Last updated
08/22/2011
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