Active NPIIndividual providerSole proprietor

Edwin Ishoo, MD

Otolaryngology, Plastic Surgery within the Head & Neck in Brookline, Massachusetts

NPI Number1760497226
Practice location
One Brookline Place, Suite 321, Brookline, MA 02445
Fax
—
Last updated
September 23, 2009

Edwin Ishoo is an Otolaryngology, Plastic Surgery within the Head & Neck based in Brookline, MA. Edwin Ishoo practices in Brookline, MA and has the professional credentials of MD. The NPI Number for Edwin Ishoo is 1760497226 and holds a License No. 2005-0084 (NM). The current practice location address for Edwin Ishoo is One Brookline Place, Suite 321, Brookline, MA 02445 and can be reached out via phone at 781-552-6089.

Provider Profile Details

NPI Number
1760497226
Provider Name
Edwin Ishoo
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
One Brookline Place, Suite 321, Brookline, MA 02445
Phone Number
781-552-6089
Sole Proprietor
Yes
Provider Enumeration Date
July 30, 2006
Last Update Date
September 23, 2009
NPI Status
Active

Provider Business Practice Location Address Details

Address
One Brookline Place
Suite 321
Brookline, MA 02445
Zip
02445
Phone Number
781-552-6089
Brookline, MA 02445Get directions →

Provider Business Mailing Address Details

Address
100 Trapelo RD
Apt 1
Waltham, MA 02452-6329
City
Waltham
State
MA
Zip
02452-6329
Phone Number
781-552-6089

License Information

License Number (1)
2005-0084
License State (1)
NM
Taxonomy (1)
Otolaryngology · 207Y00000X
License Number (2)
154977
License State (2)
MA
Taxonomy (2)
Otolaryngology · 207Y00000X
License Number (3)
154977
License State (3)
MA
Taxonomy (3)
Otolaryngology, Facial Plastic Surgery · 207YS0123X
License Number (4)
154977
License State (4)
MA
Taxonomy (4)
Otolaryngology, Plastic Surgery within the Head & Neck · 207YX0007X · Primary
License Number (5)
md2005-0084
License State (5)
NM
Taxonomy (5)
Otolaryngology, Otolaryngic Allergy · 207YX0602X
License Number (6)
154977
License State (6)
MA
Taxonomy (6)
Plastic Surgery · 208200000X

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Edwin Ishoo, MD?

The NPI number of Edwin Ishoo, MD is 1760497226. It was assigned on July 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Edwin Ishoo, MD?

Edwin Ishoo, MD is registered under the primary taxonomy Otolaryngology, Plastic Surgery within the Head & Neck (code 207YX0007X), licensed in NM under license number 2005-0084.

Where does Edwin Ishoo, MD practice?

The practice location is One Brookline Place, Suite 321, Brookline, MA 02445. The office can be reached at 781-552-6089 (phone).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1760497226 directly on the NPPES registry website.

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