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Contact Information

JOHN ISAAC JR, MD
390 TOLL GATE RD
STE.200
WARWICK, RI02886-4326
 Phone: 401-739-8010
 Fax: 401-739-6087
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Surgery

208600000X 02 Physician/General Surgery
 

Vascular Surgery

2086S0129X 76 Physician/Peripheral Vascular Disease
Indicates primary specialty

NPI Profile & details for JOHN ISAAC JR · (Male)

NPI Number 1225037435
Status Active
Credentials MD
Entity Individual
Enumeration date 07/19/2005
Last updated 09/17/2025 - About 9 months ago
Sole proprietor 1 No
Identifiers
  • NH License # 20154
  • RI License # MD07525
  • RI License # RI7525
  • VA License # 0101268741
  • NH Medicaid 3121659
  • RI Medicaid 7000784
  • RI Other 200881 BLUE CHIP PROVIDER ID
  • RI Other 29065-0 BLUE CROSS PROVIDER ID
Hospital affiliation(s)
  • HOWARD YOUNG MED CTR - (Acute Care)
    240 MAPLE ST
    WOODRUFF, WI 54568
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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