MEDICARE: DR. FREDRICK ARTHUR ISAACS M.D., P.C., F.A.C.S.

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
1	174400000X	Specialist	D0054918	MD

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1588772594
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. FREDRICK ARTHUR ISAACS M.D., P.C., F.A.C.S.

Provider Business Mailing Address
First Line	:	3801 INTERNATIONAL DR
Second Line	:	SUITE 208
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-1550
Country	:	US
Telephone Number	:	301-598-8500
Fax Number	:	301-598-1787

Provider Business Practice Location Address
First Line	:	3801 INTERNATIONAL DR
Second Line	:	SUITE 208
City	:	SILVER SPRING
State	:	MD
Zip	:	20906-1550
Country	:	US
Telephone Number	:	301-598-8500
Fax Number	:	301-598-1787

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	08/29/2006
Last Update Date	:	03/04/2008

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