Individual
ISAAC TAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
440 EAST MARSHALL STREET, WEST CHESTER, PA 19380
(610) 696-8900
(610) 696-3890
Mailing address
3624 MARKET STREET, STE 560W UPHS OFFICE OF MEDICAL AFFAIRS, PHILADELPHIA, PA 19104
(215) 662-2286
(610) 696-3890
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD019945E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0010038490004
—
PA
Enumeration date
06/24/2006
Last updated
08/24/2012
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