Provider Demographics
NPI:1174532022
Name:KEIMAN, ISIDORE MICHAEL (MD)
Entity type:Individual
Prefix:DR
First Name:ISIDORE
Middle Name:MICHAEL
Last Name:KEIMAN
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:14 ALFRED LN APT C
Mailing Address - Street 2:
Mailing Address - City:BLOOMFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:07003-6218
Mailing Address - Country:US
Mailing Address - Phone:973-945-6918
Mailing Address - Fax:973-253-0399
Practice Address - Street 1:469 CLIFTON AVENUE
Practice Address - Street 2:
Practice Address - City:CLIFTON
Practice Address - State:NJ
Practice Address - Zip Code:07011
Practice Address - Country:US
Practice Address - Phone:973-253-0266
Practice Address - Fax:973-253-0399
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-07
Last Update Date:2012-09-10
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA077630002084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry