Individual
ISAAC IKSEUNG HAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
8 HEDDEN TER, NORTH ARLINGTON, NJ 07031-6109
(201) 991-5353
(201) 991-0587
Mailing address
95 OLD SHORT HILLS RD, WEST ORANGE, NJ 07052-1008
(888) 724-7123
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
25MB11166400
NJ
390200000X
Student in an Organized Health Care Education/Training Program
—
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00122528400
—
NY
Enumeration date
03/02/2018
Last updated
03/18/2024
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