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Individual
EDWIN ISHOO
Active
Individual
EDWIN ISHOO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
154977
MA
207Y00000X
Otolaryngology Physician
2005-0084
NM
207YS0123X
Facial Plastic Surgery Physician
154977
MA
207YX0007X
Plastic Surgery within the Head & Neck (Otolaryngology) Physician
Primary
154977
MA
207YX0602X
Otolaryngic Allergy Physician
MD2005-0084
NM
208200000X
Plastic Surgery Physician
154977
MA
Other
Enumeration date
07/30/2006
Last updated
09/23/2009
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