Most Relevant Information
Provider Data
| NPI Number: | 1003420050 |
| Provider Name: | ISABELLE SALVADOR PA-C |
| Entity Type: | Individual |
| Taxonomy Code: | 363AS0400X |
| Specialty: | Physician Assistant |
| License Number: | 25MP00574000 |
Most Important Dates
| Enumeration Date: | 09/06/2020 |
| Last Updated: | 09/06/2020 |
Provider Practice Location
5 SUMMIT AVE STE 105
HACKENSACK
NJ
076011271
Practice Location Phone/Fax
| Phone: | 5519962900 |
| Fax: |
Provider Mailing Location
524 ANDERSON AVE
WOOD RIDGE
NJ
070752310
Provider Mailing Phone/Fax
| Phone: | 2013751429 |
| Fax: |