Individual
DR. MICHAEL ADAM IZEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
D.V.M.
Contact information
Practice address
137 PIERMONT RD, CLOSTER, NJ 07624-1518
(201) 768-0880
Mailing address
20 NORTHVIEW AVE APT 1, MONTCLAIR, NJ 07043-1809
(201) 543-3206
Taxonomy
Speciality
Code
Description
License number
State
174M00000X
Veterinarian
Primary
29VI00579400
NJ
Other
Enumeration date
09/22/2010
Last updated
01/06/2022
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