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NPI Code Detail

MEDICARE: DR. GEORGE ISAJIW M.D.

MEDICARE:  DR. GEORGE  ISAJIW  M.D.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD012611EPA
2311Z00000XCustodial Care FacilityMD012611EPA

General Provider Information

NPI Number : 1861509135
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. GEORGE ISAJIW M.D.
Provider Business Mailing Address
First Line : 23 N LANSDOWNE AVE
Second Line :
City : LANSDOWNE
State : PA
Zip : 19050-2205
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 23 N LANSDOWNE AVE
Second Line :
City : LANSDOWNE
State : PA
Zip : 19050-2205
Country : US
Telephone Number : 610-626-4397
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/24/2006
Last Update Date : 10/31/2013

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Directions to “ DR. GEORGE ISAJIW M.D.” Practice Location

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