Isaac, Jay J

Isaac, Jay J is an individual health care provider with primary practice located at 1 Blackburn Dr , Gloucester MA 01930-2237. He recently has only one registered license in Allopathic & Osteopathic Physicians / Internal Medicine, which is considered as his primary health care specialty. Isaac, Jay J can be contacted via phone (978) 281-1500.

Contact Information

Primary practice address
1 Blackburn Dr Gloucester MA 01930-2237
Fax: (978) 282-3699
Website:

Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Internal Medicine 207R00000X 160031 Massachusetts

Profile Details

NPI number 1730134099
LBN Legal business name Isaac, Jay J
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date May 24th, 2006
Last updated May 23rd, 2016 - about 9 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1730134099 NPPES
Massachusetts MEDICAID 3195601

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