Individual
ISAIAH FORESTER-KOOMSON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
300 POMPTON RD, WAYNE, NJ 07470-2103
(973) 720-2000
Mailing address
12 AUDUBON AVE APT 404, JERSEY CITY, NJ 07305-2227
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
—
NJ
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NJ
Other
Enumeration date
03/20/2026
Last updated
03/20/2026
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