Individual
DR. IRA ESFORMES
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
440 OLD HOOK RD, EMERSON, NJ 07630-2302
(201) 358-0707
(201) 358-9777
Mailing address
440 OLD HOOK RD, EMERSON, NJ 07630-2302
(201) 358-0707
(201) 358-9777
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
41635
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
008755
AETNA
—
01
—
77G53
EMPIRE B/C B/S
—
Enumeration date
10/10/2006
Last updated
11/03/2014
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