Edward Izrailov, L.AC.

NPI #1205950367 in Maplewood, New Jersey

Provider Information

NPI Number: 1205950367
Entity Type: Individual
Name: Edward Izrailov, L.AC.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Acupuncturist
Credential: L.AC.
Enumeration Date: Mar 16, 2007
Last Updated: Jun 13, 2011

Practice Location

Address: 1861 SPRINGFIELD AVE
City: Maplewood
State: New Jersey
ZIP Code: 07040-2954
Phone: (973) 303-0758

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Acupuncturist	171100000X	Primary

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