MR. Jithin Sam Easo
NPI #1427668110 in Bergenfield, New Jersey
Provider Information
- NPI Number
- 1427668110
- Entity Type
- Individual
- Name
- MR. Jithin Sam Easo
- Gender
- Not Specified
- Sole Proprietor
- Yes
- Primary Specialty
- Physician Assistant
- Enumeration Date
- Aug 6, 2020
- Last Updated
- Aug 6, 2020
Practice Location
- Address
- 257 BRADLEY AVE
- City
- Bergenfield
- State
- New Jersey
- ZIP Code
- 07621-2226
- Phone
- (201) 244-5874
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physician Assistant |
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