Healthcare Provider Details

I. General information

NPI: 1831982537
Provider Name (Legal Business Name): ISATOU NJIE
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 05/26/2025
Last Update Date: 05/26/2025
Certification Date: 05/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1 FRANKLIN TOWN BLVD APT 2001
PHILADELPHIA PA
19103-1250
US

IV. Provider business mailing address

1 FRANKLIN TOWN BLVD APT 2001
PHILADELPHIA PA
19103-1250
US

V. Phone/Fax

Practice location:
  • Phone: 678-618-1264
  • Fax:
Mailing address:
  • Phone: 678-618-1264
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code106S00000X
TaxonomyBehavior Technician
License Number
License Number StatePA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: