Mr. Jithin Sam Easo
Mr. Jithin Sam Easo is a Physician Assistant in Bergenfield, New Jersey. Practices as a sole proprietor. Registered with an NPI since 2020.
- In the registry since
- 2020
Practice location Address checks out
257 Bradley AveBergenfield, NJ 07621-2226
Phone: (201) 244-5874
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Specialties & licences
| Physician Assistant (primary) | Taxonomy 363A00000X |
|---|
Record details
| NPI number | 1427668110 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | Yes |
| NPI enumerated | August 6, 2020 |
| Last updated in NPPES | August 6, 2020 |
| Certification date | August 6, 2020 |
| Mailing address | 257 Bradley Ave, Bergenfield, NJ 07621-2226 |
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