NPI 1306154489

Michael Adam Izen, DVM

Practitioner Veterinarian Closter, NJ

Practice location

Address: 137 Piermont Rd, Closter, NJ 07624-1518
Phone: (201) 768-0880
Mailing address: 20 Northview Ave APT 1, Montclair, NJ 07043-1809

Registered specialties

Veterinarian Primary

Other Service Providers Taxonomy 174M00000X Licence 29VI00579400 (NJ)

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Registry record

NPI: 1306154489
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2010
Record last updated: 6 Jan 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.