Doctor Name: | ISAAC B ANNAN |
NPI Number: | 1336112234 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | MD |
License Number: | 036111711 |
Business Practice Address: | 640 E Oregon Rd Lititz, PA - 175439202 |
Business Phone Number: | 7175698773 |
Business Fax Number: | 7177357992 |
Mailing Address: | 640 E Oregon Rd, LITITZ |
State: | PA |
Postal Code: | 175439202 |
Phone Number: | 7175698773 |
Fax Number: | 7177357992 |
NPI Enumeration Date: | 02/10/2006 |
NPI Last Update Date: | 07/10/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 036111711 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | IL |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |