Healthcare Provider Details

I. General information

NPI: 1649434135
Provider Name (Legal Business Name): SETH JOSEPH ISAACS M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/14/2008
Last Update Date: 07/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3219 CLIFTON AVE STE 220
CINCINNATI OH
45220-3027
US

IV. Provider business mailing address

4600 WESLEY AVE STE N
CINCINNATI OH
45212-2298
US

V. Phone/Fax

Practice location:
  • Phone: 513-872-5400
  • Fax: 513-862-2245
Mailing address:
  • Phone: 513-841-5240
  • Fax: 513-841-1580

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207Y00000X
TaxonomyOtolaryngology Physician
License Number35.095206
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: