Doctor Name: | DAVID J ISGAN |
NPI Number: | 1285809434 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PA-C |
License Number: | MA050806 |
Business Practice Address: | 1208 Oneill Hwy Dunmore, PA - 185121709 |
Business Phone Number: | 5702072612 |
Business Fax Number: | 5702072616 |
Mailing Address: | 615 Saginaw St, SCRANTON |
State: | PA |
Postal Code: | 185053319 |
Phone Number: | 5703442283 |
Fax Number: | |
NPI Enumeration Date: | 04/29/2008 |
NPI Last Update Date: | 12/15/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 363AM0700X |
License Number: | MA050806 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | PA |
Taxonomy Type: | Physician Assistants & Advanced Practice Nursing Providers |
Taxonomy Classification: | Physician Assistant |
Taxonomy Specialization: | Medical |
Taxonomy Definition: |