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Contact Information

GLENN C ISAACSON, MD
3509 N BROAD ST
PHILADELPHIA, PA19140
 Phone: 215-707-7300
 Fax: 215-707-6417
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Otolaryngology

207Y00000X 04 Physician/Otolaryngology
Indicates primary specialty

NPI Profile & details for GLENN C ISAACSON · (Male)

NPI Number 1104814078
Status Active
Credentials MD
Entity Individual
Enumeration date 10/13/2005
Last updated 05/21/2018 - About 8 years ago
Sole proprietor 1 No
Identifiers
  • PA License # MD030568E
  • PA Medicaid 0011396520001
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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