Individual
DR. AVIGDOR IZSAK NIV
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2119 SUGARCONE RD, BALTIMORE, MD 21209-1027
(410) 486-8424
Mailing address
2119 SUGARCONE RD, BALTIMORE, MD 21209-1027
(410) 486-8424
Taxonomy
Speciality
Code
Description
License number
State
207XS0114X
Adult Reconstructive Orthopaedic Surgery Physician
Primary
D0021503
MD
Other
Enumeration date
04/03/2007
Last updated
07/08/2007
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