Individual
MR. ETHAN LIZARRAGA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
131 PARIS AVE, NORTHVALE, NJ 07647-1549
(201) 312-7060
Mailing address
131 PARIS AVE APT A, NORTHVALE, NJ 07647-1550
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
04/07/2026
Last updated
04/07/2026
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