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Individual

DANIEL J ISAACMAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
3401 CIVIC CENTER BLVD, PHILADELPHIA, PA 19104-4319
(215) 590-1000
(215) 590-4454
Mailing address
100 PENN SQUARE EAST, 9TH FL, CHCA EMERGENCY MED, PHILADELPHIA, PA 19107
(267) 425-9200
(267) 425-9299

Taxonomy

Speciality
Code
Description
License number
State
2080P0204X
Pediatric Emergency Medicine (Pediatrics) Physician
Primary
MD035622E
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001226773
PA
05
6871402
NJ
Enumeration date
07/18/2006
Last updated
01/16/2018
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