Individual
DR. ISAAC EZON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
241 MONMOUTH RD, SUITE 102, WEST LONG BRANCH, NJ 07764-1177
(732) 738-4627
(888) 604-9076
Mailing address
241 MONMOUTH RD, SUITE 102, WEST LONG BRANCH, NJ 07764-1177
(732) 738-4627
(888) 604-9076
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
25MA09591700
NJ
207WX0107X
Retina Specialist (Ophthalmology) Physician
Primary
25MA09591700
NJ
Other
Enumeration date
06/23/2008
Last updated
04/06/2017
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