Isaacoff, Theodore Robert

Isaacoff, Theodore Robert is an sole proprietor health care provider with primary practice located at 1426 W Allegheny Ave , Philadelphia PA 19132-1714. He recently has only one registered license in Podiatric Medicine & Surgery Service Providers / Podiatrist, which is considered as his primary health care specialty. Isaacoff, Theodore Robert can be contacted via phone (215) 228-2800.

Contact Information

Primary practice address
1426 W Allegheny Ave Philadelphia PA 19132-1714
Phone: (215) 228-2800
Fax: (215) 228-2050
Website:
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Health care specialties

SpecialtyCodeLicense #State
Podiatric Medicine & Surgery Service Providers / Podiatrist 213E00000X SC001656-L Pennsylvania

Profile Details

NPI number 1659423994
LBN Legal business name Isaacoff, Theodore Robert
Credentials Doctor of Podiatric Medicine (DPM)
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 17th, 2007
Last updated Jul 8th, 2007 - about 17 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1659423994 NPPES
Pennsylvania MEDICAID 00506941

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