Individual
DR. NEIL L ISDANER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
7602 CENTRAL AVE, SUITE 103, PHILADELPHIA, PA 19111-2443
(215) 745-7411
(215) 745-7488
Mailing address
7602 CENTRAL AVE, SUITE 103, PHILADELPHIA, PA 19111-2443
(215) 745-7411
(215) 745-7488
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
MD017922E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0052872000
KEYSTONE/PERSONAL CHOICE
PA
01
—
05971
USHC
PA
01
—
47074
KEYSTONE MERCY
PA
Enumeration date
03/10/2006
Last updated
03/03/2017
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