Organization
JERSEY SHORE OPHTHALMOLOGY RETINA CONSULTANTS, LLC
Active
Other names
Jersey Shore Retina Consultants
Organization subpart
No
Provider details
NPI number
Authorized official
DR. ISAAC EZON MD (PRESIDENT)
(732) 241-6666
Entity
Organization
Contact information
Practice address
241 MONMOUTH RD, SUITE 102, WEST LONG BRANCH, NJ 07764-1177
(732) 738-4627
(888) 604-9076
Mailing address
133 VAN NOSTRAND AVE, ENGLEWOOD, NJ 07631-4306
(732) 241-6666
(888) 604-9076
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA09591700
NJ
Other
Enumeration date
06/23/2016
Last updated
06/23/2016
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