Provider Demographics
NPI:1083774673
Name:NEURINGER, ISABEL P (MD)
Entity Type:Individual
Prefix:DR
First Name:ISABEL
Middle Name:P
Last Name:NEURINGER
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-1721
Mailing Address - Fax:617-726-6878
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:BLAKE 7
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-1721
Practice Address - Fax:617-726-6878
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2013-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC009300252207RP1001X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ49635OtherBCBS
MA110091217/AMedicaid
NC8962165Medicaid
MAJ49635OtherBCBS
MA002563701Medicare PIN
NC2189981Medicare ID - Type Unspecified