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NPI Code Detail

MEDICARE: DANIEL EDWARD ISAAC MD

MEDICARE: DANIEL EDWARD ISAAC MD
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
1207Q00000XFamily Medicine Physician63290AZ

General Provider Information

NPI Number : 1528564564
Entity Type Code : Individual
Provider Name (Legal Business Name) : DANIEL EDWARD ISAAC MD
Provider Business Mailing Address
First Line : PO BOX 24981
Second Line :
City : BELFAST
State : ME
Zip : 04915-2000
Country : US
Telephone Number : 844-969-0686
Fax Number : 773-832-7083
Provider Business Practice Location Address
First Line : 4712 E ROSE GARDEN LN
Second Line :
City : PHOENIX
State : AZ
Zip : 85050-4264
Country : US
Telephone Number : 480-690-8994
Fax Number : 623-401-9447
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/30/2018
Last Update Date : 05/12/2026

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