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1295215150
ETHAN ISIDRO
FLORHAM PARK, NJ
NPI
1295215150
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
2084P0800X Psychiatry & Neurology Psychiatry
(Licence: NJ 25MA10566900)
Enumeration Date
2018-08-20
Last Update Date
2022-02-09
Business Address
ETHAN ISIDRO MD
256 COLUMBIA TPKE STE 209
FLORHAM PARK, NJ 07932-1238
Phone number: 201-487-1240
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Mailing Address
ETHAN ISIDRO MD
14 COEYMAN AVE
NUTLEY, NJ 07110-1514
Phone number:
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