Doctor Name: | JEFFREY CHARLES IZZO |
NPI Number: | 1568808343 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | DVM |
License Number: | 29VI00197300 |
Business Practice Address: | 754 Sycamore Ave Tinton Falls, NJ - 077014923 |
Business Phone Number: | 7327472074 |
Business Fax Number: | 7327477722 |
Mailing Address: | 754 Sycamore Ave, TINTON FALLS |
State: | NJ |
Postal Code: | 077014923 |
Phone Number: | 7327472074 |
Fax Number: | 7327477722 |
NPI Enumeration Date: | 05/20/2013 |
NPI Last Update Date: | 05/20/2013 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174M00000X |
License Number: | 29VI00197300 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | NJ |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Veterinarian |
Taxonomy Specialization: | |
Taxonomy Definition: | A doctor of veterinary medicine, trained and authorized to practice veterinarian medicine and surgery. |