Individual
DR. JOHN ISAAC JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
390 TOLL GATE RD, STE.200, WARWICK, RI 02886-4326
(401) 739-8010
(401) 739-6087
Mailing address
390 TOLL GATE RD, STE.200, WARWICK, RI 02886-4326
(401) 739-8010
(401) 739-6087
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
0101268741
VA
208600000X
Surgery Physician
20154
NH
208600000X
Surgery Physician
Primary
RI7525
RI
2086S0129X
Vascular Surgery Physician
MD07525
RI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
200881
BLUE CHIP PROVIDER ID
RI
01
—
29065-0
BLUE CROSS PROVIDER ID
RI
05
—
3121659
—
NH
05
—
7000784
—
RI
Enumeration date
07/19/2005
Last updated
09/17/2025
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