Isidro, Jose
Isidro, Jose is an sole proprietor health care provider with primary practice located at 2 Lincoln Hwy # 109, Edison NJ 08820-3961. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Anesthesiology, Allopathic & Osteopathic Physicians / Interventional Pain Medicine. Allopathic & Osteopathic Physicians / Anesthesiology is his primary health care specialty. Isidro, Jose can be contacted via phone (732) 318-6869.Contact Information
Primary practice address
2 Lincoln Hwy # 109
Edison NJ 08820-3961
Phone: (732) 318-6869
Fax: (732) 494-9112
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 25MA04749000 | New Jersey |
Allopathic & Osteopathic Physicians / Interventional Pain Medicine | 208VP0014X | 25MA04749000 | New Jersey |
Profile Details
NPI number | 1558337972 |
---|---|
LBN Legal business name | Isidro, Jose |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | Yes |
Enumeration date | Feb 25th, 2006 |
Last updated | Dec 1st, 2017 - about 7 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1558337972 | NPPES |
New Jersey | MEDICAID | 4536908 |
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