| George Isajiw Md | |
|
23 N Lansdowne Ave Lansdowne PA 19050 | |
| (610) 626-4397 | |
| Not Available |
| Full Name | George Isajiw Md |
|---|---|
| Speciality | Internal Medicine |
| Location | 23 N Lansdowne Ave, Lansdowne, Pennsylvania |
| Authorized Official Name and Position | George Isajiw (PRESIDENT) |
| Authorized Official Contact | 6106264397 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| George Isajiw Md 23 N Lansdowne Ave Lansdowne PA 19050 Ph: (610) 626-4397 | George Isajiw Md 23 N Lansdowne Ave Lansdowne PA 19050 Ph: (610) 626-4397 |
| NPI Number | 1821192816 |
|---|---|
| Provider Enumeration Date | 09/11/2006 |
| Last Update Date | 10/31/2013 |
| Medicare PECOS PAC ID | 2860397916 |
|---|---|
| Medicare Enrollment ID | O20031203000240 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1821192816 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | MD012611E (Pennsylvania) | Primary |
| 311Z00000X | Custodial Care Facility | MD012611E (Pennsylvania) | Secondary |
| Provider Name | George Isajiw |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1861509135 PECOS PAC ID: 8628973781 Enrollment ID: I20031203000184 |
George Isajiw, M.d. Primary Care Clinic Medicare: Not Enrolled in Medicare Practice Location: 23 N Lansdowne Ave, Lansdowne, PA 19050 Phone: 610-626-4397 Fax: 610-623-5670 | |
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