Provider Demographics
NPI:1588772594
Name:ISAACS, FREDRICK ARTHUR (MD, PC, FACS)
Entity type:Individual
Prefix:DR
First Name:FREDRICK
Middle Name:ARTHUR
Last Name:ISAACS
Suffix:
Gender:M
Credentials:MD, PC, FACS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3801 INTERNATIONAL DR
Mailing Address - Street 2:SUITE 208
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-1550
Mailing Address - Country:US
Mailing Address - Phone:301-598-8500
Mailing Address - Fax:301-598-1787
Practice Address - Street 1:3801 INTERNATIONAL DR
Practice Address - Street 2:SUITE 208
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-1550
Practice Address - Country:US
Practice Address - Phone:301-598-8500
Practice Address - Fax:301-598-1787
Is Sole Proprietor?:Yes
Enumeration Date:2006-08-29
Last Update Date:2008-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MDD0054918174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD5974020Medicaid
MDG00717Medicare PIN
MDD02179Medicare UPIN