ETHAN ISIDRO

FLORHAM PARK, NJ
NPI1295215150
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NJ  25MA10566900)
Enumeration Date2018-08-20
Last Update Date2022-02-09
Business Address
ETHAN ISIDRO MD
256 COLUMBIA TPKE STE 209
FLORHAM PARK, NJ 07932-1238
Phone number: 201-487-1240
Mailing Address
ETHAN ISIDRO MD
14 COEYMAN AVE
NUTLEY, NJ 07110-1514
Phone number: