Individual
JEFFERSON ISIBOR
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
99 BEAUVOIR AVE, SUMMIT, NJ 07901-3533
(908) 522-5342
Mailing address
77 HENNING TER, DENVILLE, NJ 07834-3716
(973) 216-2172
Taxonomy
Speciality
Code
Description
License number
State
183500000X
Pharmacist
Primary
28RI03071500
NJ
Other
Enumeration date
05/27/2020
Last updated
05/27/2020
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