Grace Medical Association Corporation
NPI #1144500133 in Hackensack, New Jersey
Provider Information
- NPI Number
- 1144500133
- Entity Type
- Organization
- Organization Name
- Grace Medical Association Corporation
- Primary Specialty
- Specialist
- Enumeration Date
- Aug 22, 2011
- Last Updated
- Aug 22, 2011
Practice Location
- Address
- 192 PROSPECT AVE
- City
- Hackensack
- State
- New Jersey
- ZIP Code
- 07601-2204
- Phone
- (201) 569-9090
Authorized Official
- Name
- DR. ANDREA G. P. ISAACS, M.D.
- Title
- OWNER
- Phone
- (201) 569-9090
Specialties & Taxonomy Codes
| Specialty |
|---|
| Specialist |
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