Individual
DR. THEODORE ROBERT ISAACOFF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1426 W ALLEGHENY AVE, PHILADELPHIA, PA 19132-1714
(215) 228-2800
(215) 228-2050
Mailing address
1607 LIMEKILN PIKE, DRESHER, PA 19025-1007
(267) 419-8360
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
SC001656-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
00506941
—
PA
Enumeration date
01/17/2007
Last updated
07/08/2007
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