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NPI Code Detail

MEDICARE: DR. ANORA ISAYEVA DDS

MEDICARE: DR. ANORA ISAYEVA DDS
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1390200000XStudent in an Organized Health Care Education/Training Program

General Provider Information

NPI Number : 1982199055
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ANORA ISAYEVA DDS
Provider Business Mailing Address
First Line : 203 GLASSWORKS BLVD APT G
Second Line :
City : CLIFFWOOD
State : NJ
Zip : 07721-1334
Country : US
Telephone Number : 718-724-9478
Fax Number :
Provider Business Practice Location Address
First Line : 300 2ND AVE
Second Line :
City : LONG BRANCH
State : NJ
Zip : 07740-6395
Country : US
Telephone Number : 732-222-5200
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 06/29/2018
Last Update Date : 06/29/2018

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