Individual
AMY V ISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
M.D., MPH
Contact information
Practice address
2520 INDEPENDENCE BLVD STE 200, WILMINGTON, NC 28412-2482
(910) 442-1100
(910) 442-1199
Mailing address
1602 PHYSICIANS DR STE 104, WILMINGTON, NC 28401-7350
(910) 442-1100
(910) 442-1199
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
Primary
200300249
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2021613A
MEDICARE ID
NC
01
—
2021613B
MEDICARE PTAN
NC
01
—
2021613D
MEDICARE PTAN
NC
05
—
5907212
—
NC
Enumeration date
04/12/2007
Last updated
05/19/2011
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