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Individual

EDWARD IZRAILOV

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
L.AC.

Contact information

Practice address
1861 SPRINGFIELD AVE, MAPLEWOOD, NJ 07040-2954
(973) 303-0758
Mailing address
23 N RIDGE RD, LIVINGSTON, NJ 07039-1238
(973) 303-0758

Taxonomy

Speciality
Code
Description
License number
State
171100000X
Acupuncturist
003234-1
NY
171100000X
Acupuncturist
Primary
25MZ00050400
NJ

Other

Enumeration date
03/16/2007
Last updated
06/13/2011
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