Individual
DR. ISAAC O'NEAL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
110 WILLIAM ST, NEWARK, NJ 07102-1304
(973) 733-5300
Mailing address
110 WILLIAM ST, NEWARK, NJ 07102-1304
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA04217200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3605507
—
NJ
Enumeration date
02/20/2007
Last updated
03/18/2013
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