Individual
CHRISTINE ISABELLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
201 LYONS AVE, NEWARK, NJ 07112-2027
(973) 926-7000
Mailing address
766 CLARENCE ST, WESTFIELD, NJ 07090-4449
(908) 403-1812
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00352300
NJ
Other
Enumeration date
11/28/2014
Last updated
11/28/2014
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