Organization
IZ MEDICAL LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
IYAD BAKER MD (CEO)
(862) 202-3087
Entity
Organization
Contact information
Practice address
250 MOONACHIE RD, MOONACHIE, NJ 07074-1378
(201) 596-6262
(201) 596-6299
Mailing address
250 MOONACHIE RD, MOONACHIE, NJ 07074-1378
(201) 596-6262
(201) 596-6299
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MA09011900
LICENSE
NJ
Enumeration date
05/27/2020
Last updated
05/27/2020
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