Individual
JESSICA L. ISRAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
300 2ND AVE, LONG BRANCH, NJ 07740-6303
(732) 923-7550
(732) 923-7553
Mailing address
PO BOX 8000, DEPT 601, BUFFALO, NY 14267-0002
(866) 295-0041
(708) 342-2517
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
25MA07429100
NJ
207RG0300X
Geriatric Medicine (Internal Medicine) Physician
25MA07429100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8893306
—
NJ
Enumeration date
06/05/2006
Last updated
06/24/2013
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