Izanec, James L

Izanec, James L is an individual health care provider with primary practice located at 217 White Horse Pike , Haddon Heights NJ 08035-1703. He recently has only one registered license in Other Service Providers / Specialist, which is considered as his primary health care specialty. Izanec, James L can be contacted via phone (856) 547-1661.

Contact Information

Primary practice address
217 White Horse Pike Haddon Heights NJ 08035-1703
Phone: (856) 547-1661
Fax: (856) 547-6117
Website:
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Health care specialties

SpecialtyCodeLicense #State
Other Service Providers / Specialist 174400000X 25MA08234700 New Jersey

Profile Details

NPI number 1235356148
LBN Legal business name Izanec, James L
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Apr 20th, 2007
Last updated May 16th, 2008 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1235356148 NPPES
New Jersey MEDICAID 0133655

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