Provider Demographics
NPI:1548207202
Name:ESKOW, RAYMOND PAUL (MD)
Entity Type:Individual
Prefix:DR
First Name:RAYMOND
Middle Name:PAUL
Last Name:ESKOW
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:44 GODWIN AVE STE 102
Mailing Address - Street 2:
Mailing Address - City:MIDLAND PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07432-1959
Mailing Address - Country:US
Mailing Address - Phone:201-444-5992
Mailing Address - Fax:201-444-9984
Practice Address - Street 1:44 GODWIN AVE STE 102
Practice Address - Street 2:
Practice Address - City:MIDLAND PARK
Practice Address - State:NJ
Practice Address - Zip Code:07432-1959
Practice Address - Country:US
Practice Address - Phone:201-444-5992
Practice Address - Fax:201-444-9984
Is Sole Proprietor?:No
Enumeration Date:2006-06-01
Last Update Date:2014-06-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMA58162207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ6164609Medicaid
NJ088366Medicare ID - Type Unspecified
NJF80220Medicare UPIN
NJ6164609Medicaid
NJ2K5533OtherHEALTHNET
NJF80220Medicare UPIN
NJBP349OtherOXFORD