Individual
DR. PETER J ISAAC
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
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
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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