Marc Taro Ishizuka D.O.

NPI 1023230844 - Psychiatry & Neurology - 2084P0800X

NPI Details
NPI 1023230844
Gender Male
Enumeration Date 05/02/2007
Last Updated 07/13/2009
Entity Type Individual
Active Over 9 years ago
Practice Location
BUILDING 5437
VA OUTPATIENT CLINIC AT MARSHAL HALL
FORT DIX NJ, 08640, US
Phone (609) 562-2999
Fax (609) 562-5426
Business Location
BUILDING 5437
VA OUTPATIENT CLINIC AT MARSHAL HALL
FORT DIX NJ, 08640, US
Phone (609) 562-2999
Fax (609) 562-5426
Toxanomy
Taxonomy Code 2084P0800X
License State Pennsylvania
License Number OT010508
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According to our database, Dr. Marc Taro Ishizuka D.O. NPI is 1023230844, taxonomy code is 2084P0800X and license number is OT010508, license state is located at Pennsylvania. Marc Taro Ishizuka D.O. physically located at Building 5437, Fort Dix NJ, 08640. NPI Number Marc Taro Ishizuka D.O. has the Individual type.

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1023230844 NPI number is provided on an as is basis without warranty of any kind. 1023230844 is maintained by the National Plan & Provider Enumeration System. The contents of Marc Taro Ishizuka D.O. are for informational purposes only.