Organization
JERSEY SHORE OPHTHALMOLOGY RETINA CONSULTANTS, LLC
Active
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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