Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00281000 | NJ |
N | 213ES0131X | Foot Surgery | 5901002194 | MI |
N | 213ES0131X | Foot Surgery | N005990 | NY |
NPI | 1063417491 |
---|---|
Provider Name | Dr. Isa Schwarzberg |
First Address | Maywood, NJ 07607-1264 |
Second Address | Maywood, NJ 07607-1264 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/06/2005 |
Last Update Date | 25/08/2010 |