Glenn C Isaacson in Philadelphia - Otolaryngology
Glenn C Isaacson - NPI 1104814078
Glenn C Isaacson is a Otolaryngology in Philadelphia, Pennsylvania. Glenn C Isaacson practices all healthcare services and medical treatments related to Otolaryngology. The NPI Number for Glenn C Isaacson is 1104814078. The last update date is 2018-05-21.
Glenn C Isaacson's current location address is 3509 N Broad St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2157077300 and fax number 2157076417. The mailing address for Glenn C Isaacson is 3509 N Broad St, Philadelphia, Pennsylvania. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Glenn C Isaacson |
|---|---|
| Address | 3509 N Broad St, Philadelphia, Pennsylvania |
| Phone Number | 2157077300 |
| Fax Number | 2157076417 |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1104814078 |
|---|---|
| Provider Enumeration Date | 2005-10-13 |
| Last Updated Date | 2018-05-21 |
Provider Mailing Address Detail
| Address | 3509 N Broad St |
|---|---|
| City | Philadelphia |
| State | Pennsylvania (PA) |
| Post Code | 19140 |
| Phone Number | 2157077300 |
| Fax Number | 2157076417 |
Provider's Primary Taxonomy Detail
| Speciality | Otolaryngology |
|---|---|
| Taxonomy | 207Y00000X |
| Licence No | MD030568E |
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Definition: An otolaryngologist-head and neck surgeon provides comprehensive medical and surgical care for patients with diseases and disorders that affect the ears, nose, throat, the respiratory and upper alimentary systems and related structures of the head an |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| 11396520001 | PA | -- |
Post Comment/ Review Below
What is the unique 10-digit identifier code issued to Glenn C Isaacson by the Centers for Medicare & Medicaid Services?
The Glenn C Isaacson has been assigned the NPI (National Provider Identifier) 1104814078 by the CMS (Centers for Medicare & Medicaid Services). This 10-digit code serves as a unique identification number for healthcare providers.
Could you share the physical location details of Glenn C Isaacson?
The Glenn C Isaacson is situated at 3509 N Broad St, in the city of Philadelphia, state of PA, with the zip code 19140.
What is the Glenn C Isaacson's area of specialization and corresponding taxonomy classification?
The Glenn C Isaacson's specialty field is Otolaryngology, and it falls under the taxonomy code 207Y00000X, which categorizes healthcare providers based on their specialties.
When did Glenn C Isaacson receive its 1104814078 assignment?
The Glenn C Isaacson was assigned its 1104814078 on 2005-10-13, which is the date when this unique identifier was issued to the organization.
As of what date were the details pertaining to Glenn C Isaacson last refreshed?
The information related to the Glenn C Isaacson, including its address, specialty, and other relevant details, was last updated on 2018-05-21.