Individual
JON E ISAACSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
875 POPLAR CHURCH RD, SUITE 320, CAMP HILL, PA 17011-2203
(717) 763-7400
(717) 909-9567
Mailing address
875 POPLAR CHURCH RD, SUITE 320, CAMP HILL, PA 17011-2203
(717) 763-7400
(717) 909-9567
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD071268L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18066100001
—
PA
01
—
1942267836
NPI
PA
Enumeration date
04/26/2006
Last updated
03/11/2014
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