Provider Demographics
NPI:1699150458
Name:MCISAAC, MARGARET (DVM)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:
Last Name:MCISAAC
Suffix:
Gender:F
Credentials:DVM
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:51 W STATE ST
Mailing Address - Street 2:
Mailing Address - City:GRANBY
Mailing Address - State:MA
Mailing Address - Zip Code:01033-9467
Mailing Address - Country:US
Mailing Address - Phone:413-467-9280
Mailing Address - Fax:413-467-3699
Practice Address - Street 1:51 W STATE ST
Practice Address - Street 2:
Practice Address - City:GRANBY
Practice Address - State:MA
Practice Address - Zip Code:01033-9467
Practice Address - Country:US
Practice Address - Phone:413-467-9280
Practice Address - Fax:413-467-3699
Is Sole Proprietor?:Yes
Enumeration Date:2015-07-22
Last Update Date:2015-07-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA3519174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian