Individual
MR. IZEE MER DIZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MSN, RN, APN
Contact information
Practice address
77 MAPLE ST, BRIDGEWATER, NJ 08807-2752
(908) 300-4598
Mailing address
77 MAPLE ST, BRIDGEWATER, NJ 08807-2752
(908) 300-4598
Taxonomy
Speciality
Code
Description
License number
State
363LA2200X
Adult Health Nurse Practitioner
Primary
26NJ01051800
NJ
363LG0600X
Gerontology Nurse Practitioner
26NJ01051800
NJ
Other
Enumeration date
09/10/2020
Last updated
09/10/2020
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