Individual
EUGENE IZSAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
2142 N COVE BLVD, PROMEDICA TOLEDO HOSPITAL, TOLEDO, OH 43606-3895
(419) 291-3627
Mailing address
2142 N. COVE BLVD., PROMEDICA TOLEDO HOSPITAL, TOLEDO, OH 43606
(419) 291-3627
Taxonomy
Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
35.044410
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000271436
ANTHEM
OH
05
—
0644057
—
OH
01
—
442902
MI MEDICAID
OH
05
—
4429902
—
MI
01
—
727161
BCHP
OH
01
—
810547599036
CARESOURCE MEDICAID
OH
01
—
MD5560H
AK MEDICAID
OH
05
—
MD556OH
—
AK
Enumeration date
10/03/2006
Last updated
03/07/2023
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