Provider Demographics
NPI:1750517058
Name:ISKOWITZ, JOANNA DEBORAH (MD)
Entity type:Individual
Prefix:
First Name:JOANNA
Middle Name:DEBORAH
Last Name:ISKOWITZ
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:221 HOWARD AVE
Mailing Address - Street 2:2ND FLR
Mailing Address - City:PASSAIC
Mailing Address - State:NJ
Mailing Address - Zip Code:07055-4511
Mailing Address - Country:US
Mailing Address - Phone:973-272-3686
Mailing Address - Fax:
Practice Address - Street 1:221 HOWARD AVE
Practice Address - Street 2:2ND FLR
Practice Address - City:PASSAIC
Practice Address - State:NJ
Practice Address - Zip Code:07055-4511
Practice Address - Country:US
Practice Address - Phone:973-272-3686
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-02
Last Update Date:2009-06-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MA08555900208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics