Individual
CAROL S ISHAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
330 MAIN ST, DICKSON CITY, PA 18519-1691
(484) 884-4500
Mailing address
2100 MACK BLVD FL 4, ALLENTOWN, PA 18103-5622
(484) 884-4500
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
026427
CT
207L00000X
Anesthesiology Physician
Primary
MD030695E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1710942743
—
CT
Enumeration date
04/20/2006
Last updated
02/19/2024
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