Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 1223P0700X | Prosthodontist | 14797 | NJ |
NPI | 1023226974 |
---|---|
Provider Name | Dr. Steven Craig Isaacson |
First Address | Princeton, NJ 08540-4203 |
Second Address | Princeton, NJ 08540-2757 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 21/05/2007 |
Last Update Date | 08/07/2007 |