Isidro, Ethan
Isidro, Ethan is an sole proprietor health care provider with primary practice located at 256 Columbia Tpke Ste 209 , Florham Park NJ 07932-1238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Psychiatry, which is considered as his primary health care specialty. Isidro, Ethan can be contacted via phone (201) 487-1240.Contact Information
Primary practice address
256 Columbia Tpke Ste 209
Florham Park NJ 07932-1238
Phone: (201) 487-1240
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Psychiatry | 2084P0800X | 25MA10566900 | New Jersey |
Profile Details
| NPI number | 1295215150 |
|---|---|
| LBN Legal business name | Isidro, Ethan |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Aug 20th, 2018 |
| Last updated | Feb 9th, 2022 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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