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Individual

DR. ISAO IWATA

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
5 PLAINSBORO RD STE 300, PLAINSBORO, NJ 08536-1915
(609) 853-7272
(609) 853-7271
Mailing address
5 PLAINSBORO RD STE 300, PLAINSBORO, NJ 08536-1915
(609) 853-7272
(609) 852-7271

Taxonomy

Speciality
Code
Description
License number
State
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
Primary
25MA09972900
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
25MA09972900
NJ LICENSE
NJ
Enumeration date
09/19/2007
Last updated
09/30/2021
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