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Organization

ANDREA ISAACS MD PC

Active
Organization subpart
No

Provider details

NPI number
Authorized official
DR. ANDREA ISAACS M.D. (OWNER)
(201) 569-9090
Entity
Organization

Contact information

Practice address
177 N DEAN ST, SUITE 203, ENGLEWOOD, NJ 07631-2533
(201) 569-9090
(201) 569-1919
Mailing address
177 N DEAN ST, SUITE 203, ENGLEWOOD, NJ 07631-2533
(201) 569-9090
(201) 569-1919

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA0762130
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
072397
MEDICARE ID#
NJ
01
25MA0762130
MEDICAL LICENSE #
NJ
Enumeration date
04/14/2014
Last updated
04/14/2014
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