Isenberg, Gerald A.
Isenberg, Gerald A. is an individual health care provider with primary practice located at 1100 Walnut St Suite 702, Philadelphia PA 19107-5563. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Isenberg, Gerald A. can be contacted via phone (215) 955-5869.Contact Information
Primary practice address
1100 Walnut St Suite 702
Philadelphia PA 19107-5563
Phone: (215) 955-5869
Fax: (215) 955-2404
Website:
Health care specialties
Specialty | Code | License # | State |
---|---|---|---|
Allopathic & Osteopathic Physicians / Surgery | 208600000X | MD037695E | Pennsylvania |
Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | MD037695E | Pennsylvania |
Profile Details
NPI number | 1821018532 |
---|---|
LBN Legal business name | Isenberg, Gerald A. |
Credentials | Doctor of Medicine (MD) |
Entity | Individual |
Sole proprietor 1 | No |
Enumeration date | Jul 19th, 2006 |
Last updated | May 27th, 2011 - about 14 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.
Identifiers
State | Type | Number | Issuer |
---|---|---|---|
All States | NPI | 1821018532 | NPPES |
New Jersey | MEDICAID | 8667101 | |
New Jersey | MEDICAID | 001430759 |
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