Individual
GARY ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1195 AIRPORT RD, LAKEWOOD, NJ 08701-5970
(732) 703-1895
Mailing address
1195 AIRPORT RD, LAKEWOOD, NJ 08701-5970
(732) 703-1895
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI02104400
NJ
Other
Enumeration date
11/14/2014
Last updated
11/14/2014
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