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Edwin Ishoo

Surgeon Otolaryngologist (ENT Doctor) Facial Plastic Surgeon Plastic Surgeon (Head & Neck) and 1 more

One Brookline Place Suite 321
Brookline , Massachusetts 02445

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About


Features

Language(s) Spoken
English
Ethnic Identity
White / Caucasian

Specialties

  • Otolaryngologist (ENT Doctor)
  • Facial Plastic Surgeon
  • Plastic Surgeon (Head & Neck)
  • Surgeon

Languages spoken

  • English

Location

One Brookline Place Suite 321 Brookline , Massachusetts 02445

First Address

  • Edwin Ishoo
  • 100 Trapelo Rd Apt 1
  • Waltham, MA
  • Zip : 02452-6329
  • Phone : (781) 552-6089

Second Address

  • Edwin Ishoo
  • One Brookline Place Suite 321
  • Brookline, MA
  • Zip : 02445
  • Phone : (781) 552-6089

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FAQs


Where did Edwin Ishoo attend graduate school?

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Where did Edwin Ishoo do his residency?

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Where did Edwin Ishoo do his fellowship?

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Is Edwin Ishoo board certified?

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What type of doctor is Edwin Ishoo

Plastic Surgeon (Head & Neck)

In what state does Edwin Ishoo practice in?

Massachusetts

Where is Edwin Ishoo ’s practice located?

One Brookline Place Suite 321 , Brookline, Massachusetts, 02445

What is Edwin Ishoo ’s gender?

Male

Is Edwin Ishoo a sole practitioner?

No

Is Edwin Ishoo accepting new patients?

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What languages does Edwin Ishoo speak?

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Does Edwin Ishoo accept insurance?

Yes, Edwin Ishoo accepts insurance

Does Edwin Ishoo offers telemedicine?

Edwin Ishoo has not indicated if he offers telemedicine

What is Edwin Ishoo ’s professional license number?

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What is Edwin Ishoo ’s NPI number?

1760497226

Does Edwin Ishoo have any license restrictions?

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Scope of Practice

Primary Taxonomy Code Taxonomy Specialty License Number License State
N 207Y00000X Otolaryngologist (ENT Doctor) 154977 MA
N 207Y00000X Otolaryngologist (ENT Doctor) 2005-0084 NM
N 207YS0123X Facial Plastic Surgeon 154977 MA
Y 207YX0007X Plastic Surgeon (Head & Neck) 154977 MA
N 208200000X Surgeon 154977 MA
N 208600000X Surgeon 154977 MA

National Provider Identifier

NPI 1760497226
Provider Name Edwin Ishoo
First Address Waltham, MA 02452-6329
Second Address Brookline, MA 02445
Gender M
NPI Entity type Individual
Is Sole Proprietor Yes
Is Organization Subpart N/A
Enumeration Date 30/07/2006
Last Update Date 23/09/2009

Additional Identifiers

IDENTIFIER TYPE / CODE IDENTIFIER STATE
2161133 (05) MA
A2852201 (02) MA
G72583 (02) NM

NPI Footnotes


What is the National Provider Identifier (NPI)

The NPI is 10-position all-numeric identification number assigned by the NPPES to uniquely identify a health care provider.

Provider Location Address

The location address of the provider being identified. For providers with more than one physical location, this is the primary location. This address cannot include a Post Office box.

Provider Mailing Address

The mailing address of the provider being identified. This address may contain the same information as the provider location address.

Entity Type Code

The code describing the type of health care provider that is being assigned an NPI. The entity type codes are:
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)

What is a Subpart?

Subparts are the components and separate physical locations of organization health care providers. Subpart examples include: Hospital components include outpatient departments, surgical centers, psychiatric units, and laboratories. These components are often separately licensed or certified by States and may exist at physical locations other than that of the hospital of which they are a component.

Provider Other Organization Name

The other organization name is the alternative last name by which the provider is or has been known (if an individual) or other name by which the organization provider is or has been known. The code identifying the type of other name. The provider other organization name codes are:
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.

Provider Enumeration Date

The date the provider was assigned a unique identifier (assigned an NPI)

Last Update Date

The date that a NPI record was last updated or changed

Primary Taxonomy Code

The primary taxonomy code defines the provider type, classification, and specialization. There could be only one primary taxonomy code per NPI record. For individual NPls the license data is associated to the taxonomy code.

Authorized Official Name

The name of the person authorized to submit the PI application or to officially change data for a health care provider.

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