Organization
ZELS IV INFUSION CENTER LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
MRS. IZOLDA IZMAYLOVA ANP-C (NURSE PRACTITIONER)
(718) 790-0815
Entity
Organization
Contact information
Practice address
223 TAYLORS MILLS RD, MANALAPAN, NJ 07726-3229
(718) 790-0815
Mailing address
41 EAGLE RD, MARLBORO, NJ 07746-1810
(718) 790-0815
Taxonomy
Speciality
Code
Description
License number
State
363LG0600X
Gerontology Nurse Practitioner
Primary
—
—
Other
Enumeration date
07/23/2021
Last updated
07/26/2021
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