Provider Demographics
NPI:1255381539
Name:TOREM, ISAAC (MD)
Entity type:Individual
Prefix:
First Name:ISAAC
Middle Name:
Last Name:TOREM
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2932 YOUNGSTOWN RD SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-5259
Mailing Address - Country:US
Mailing Address - Phone:330-369-1881
Mailing Address - Fax:330-369-1884
Practice Address - Street 1:2932 YOUNGSTOWN RD SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-5259
Practice Address - Country:US
Practice Address - Phone:330-369-1881
Practice Address - Fax:330-369-1884
Is Sole Proprietor?:No
Enumeration Date:2006-05-10
Last Update Date:2008-02-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH207W00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmology
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH0436979Medicaid
OHA79620Medicare UPIN
OH0482294Medicare PIN