Individual
DR. PETER J ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
2086S0129X
Vascular Surgery Physician
Primary
OS005861L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0012579850008
—
PA
01
—
0484998000
IBC
—
01
—
153138
UNISON
—
01
—
1538907
GATEWAY HEALTH PLAN
—
01
—
20033449
AMERIHEALTH MERCY
—
01
—
50036423
CBC
—
01
—
653413
HIGHMARK BLUE SHIELD
—
01
—
P00138845
RR MEDICARE
—
Enumeration date
11/14/2005
Last updated
12/29/2022
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