Individual
ISATU IYE MACAULEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
20 SHELLY DR, SOMERSET, NJ 08873-1806
(732) 979-0486
Mailing address
20 SHELLY DR, SOMERSET, NJ 08873-1806
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
Primary
760441
NY
Other
Enumeration date
08/22/2019
Last updated
08/22/2019
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