Organization
PETER J ISAAC DO LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. PETER J ISAAC DO (PRESIDENT)
(610) 820-5703
Entity
Organization
Contact information
Practice address
1275 S CEDAR CREST BLVD STE 2, ALLENTOWN, PA 18103-6207
(610) 820-5703
(610) 433-5660
Mailing address
1605 N CEDAR CREST BLVD STE 110B, ALLENTOWN, PA 18104-2351
(610) 973-1410
(610) 973-1449
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012579850008
—
PA
01
—
1615553
HIGHMARK BLUE SHIELD
—
01
—
20033447
AMERIHEALTH MERCY
—
01
—
2294393000
IBC
—
01
—
50036424
CBC
—
01
—
DB9519
RR MEDICARE
—
Enumeration date
11/14/2005
Last updated
12/29/2022
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