Provider Demographics
NPI:1669547071
Name:ISAAC, VINA H (MD)
Entity type:Individual
Prefix:DR
First Name:VINA
Middle Name:H
Last Name:ISAAC
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:290 MADISON AVE
Mailing Address - Street 2:BUILDING 2
Mailing Address - City:MORRISTOWN
Mailing Address - State:NJ
Mailing Address - Zip Code:07960-7400
Mailing Address - Country:US
Mailing Address - Phone:973-267-8266
Mailing Address - Fax:973-267-2103
Practice Address - Street 1:290 MADISON AVE
Practice Address - Street 2:BUILDING 2
Practice Address - City:MORRISTOWN
Practice Address - State:NJ
Practice Address - Zip Code:07960-7400
Practice Address - Country:US
Practice Address - Phone:973-267-8266
Practice Address - Fax:973-267-2103
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-21
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MA04078600207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
E88002Medicare UPIN