JITHIN SAM EASO

BERGENFIELD, NJ
NPI1427668110
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy363A00000X Physician Assistant
Enumeration Date2020-08-06
Last Update Date2020-08-06
Business Address
Mr. JITHIN SAM EASO
257 BRADLEY AVE
BERGENFIELD, NJ 07621-2226
Phone number: 201-244-5874
Mailing Address
Mr. JITHIN SAM EASO
257 BRADLEY AVE
BERGENFIELD, NJ 07621-2226
Phone number: 646-853-1177
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