Individual
IZA M BOESLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
160 WHITE RD STE 201, LITTLE SILVER, NJ 07739-1167
(732) 440-8187
(732) 314-7402
Mailing address
160 WHITE RD STE 201, LITTLE SILVER, NJ 07739-1167
(732) 440-8187
(732) 314-7402
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA06861200
NJ
207RS0012X
Sleep Medicine (Internal Medicine) Physician
Primary
25MA6861200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8008809
—
NJ
Enumeration date
06/30/2005
Last updated
11/11/2021
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