Individual
DR. STUART N ISAACS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
3900 WOODLAND AVE, VA, PHILADELPHIA, PA 19104-4551
(215) 573-7515
(215) 349-5111
Mailing address
3900 WOODLAND AVE, VA, PHILADELPHIA, PA 19104-4551
(215) 573-7515
(215) 349-5111
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
MD037298E
PA
207RI0200X
Infectious Disease Physician
Primary
MD037298E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
001457959
NEW MPI PROVID. #
PA
05
—
145759
—
PA
Enumeration date
08/12/2006
Last updated
10/15/2012
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