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
Fax: (732) 494-9112
Website:

Health care specialties

SpecialtyCodeLicense #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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1558337972 NPPES
New Jersey MEDICAID 4536908

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