Provider Demographics
NPI:1174336051
Name:MAITRE, ISAAC
Entity type:Individual
Prefix:MR
First Name:ISAAC
Middle Name:
Last Name:MAITRE
Suffix:
Gender:M
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:41 ASHTON ST FL 3
Mailing Address - Street 2:
Mailing Address - City:PROVIDENCE
Mailing Address - State:RI
Mailing Address - Zip Code:02904-2420
Mailing Address - Country:US
Mailing Address - Phone:401-346-8695
Mailing Address - Fax:401-346-8695
Practice Address - Street 1:41 ASHTON ST FL 3
Practice Address - Street 2:
Practice Address - City:PROVIDENCE
Practice Address - State:RI
Practice Address - Zip Code:02904-2420
Practice Address - Country:US
Practice Address - Phone:401-346-8695
Practice Address - Fax:401-346-8695
Is Sole Proprietor?:Yes
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes171R00000XOther Service ProvidersInterpreter