Individual
JEFFREY S ISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
54840
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
042472266
PRIVATE HEALTHCARE SYSTEM
—
01
—
1060773
FIRST HEALTH
—
01
—
1900126
EVERCARE
—
01
—
29185
CHILDRENS MEDICAL SEC
—
01
—
3100316
MEDICAID WELFARE
—
05
—
3100316
—
MA
01
—
5169476
CIGNA HEALTH PLAN
—
01
—
784031
MVP HEALTH CARE
—
01
—
7869344
AETNA US HEALTHCARE
—
01
—
9900197
FALLON COMM HEALTH PLAN
—
01
—
AA6078
HARVARD PILGRIM HLTH CARE
—
01
—
J12368
BLUE SHIELD INDEMNITY
—
Enumeration date
03/10/2006
Last updated
03/08/2012
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