Provider Demographics
NPI:1801057781
Name:EZON, ISAAC (MD)
Entity type:Individual
Prefix:DR
First Name:ISAAC
Middle Name:
Last Name:EZON
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:241 MONMOUTH RD
Mailing Address - Street 2:SUITE 102
Mailing Address - City:WEST LONG BRANCH
Mailing Address - State:NJ
Mailing Address - Zip Code:07764-1177
Mailing Address - Country:US
Mailing Address - Phone:732-738-4627
Mailing Address - Fax:888-604-9076
Practice Address - Street 1:241 MONMOUTH RD
Practice Address - Street 2:SUITE 102
Practice Address - City:WEST LONG BRANCH
Practice Address - State:NJ
Practice Address - Zip Code:07764-1177
Practice Address - Country:US
Practice Address - Phone:732-738-4627
Practice Address - Fax:888-604-9076
Is Sole Proprietor?:Yes
Enumeration Date:2008-06-23
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA09591700207W00000X, 207WX0107X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207WX0107XAllopathic & Osteopathic PhysiciansOphthalmologyRetina Specialist
No207W00000XAllopathic & Osteopathic PhysiciansOphthalmology