| Iz Medical Llc | |
|
250 Moonachie Rd Moonachie NJ 07074-1378 | |
| (201) 596-6262 | |
| (201) 596-6299 |
| Full Name | Iz Medical Llc |
|---|---|
| Speciality | Family Medicine |
| Location | 250 Moonachie Rd, Moonachie, New Jersey |
| Authorized Official Name and Position | Iyad Baker (CEO) |
| Authorized Official Contact | 8622023087 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Iz Medical Llc 250 Moonachie Rd Moonachie NJ 07074-1378 Ph: (201) 596-6262 | Iz Medical Llc 250 Moonachie Rd Moonachie NJ 07074-1378 Ph: (201) 596-6262 |
| NPI Number | 1790308583 |
|---|---|
| Provider Enumeration Date | 05/27/2020 |
| Last Update Date | 05/27/2020 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1790308583 | NPI | - | NPPES |
| 25MA09011900 | Other | NJ | LICENSE |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207Q00000X | Family Medicine | (* (Not Available)) | Primary |