Stephen S. Eisenberg in Santa Rosa - Diagnostic Radiology

Stephen S. Eisenberg - NPI 1225112204

Stephen S. Eisenberg is a Diagnostic Radiology in Santa Rosa, California. Stephen S. Eisenberg practices all healthcare services and medical treatments related to Diagnostic Radiology. The NPI Number for Stephen S. Eisenberg is 1225112204. The last update date is 2007-07-08.

Stephen S. Eisenberg's current location address is 401 Bicentennial Way, Santa Rosa, California. You can contact this provider via phone number 7075714000. The mailing address for Stephen S. Eisenberg is 401 Bicentennial Way, Santa Rosa, California. To know further, please read the information below!

Provider Profile Detail

Provider Name Stephen S. Eisenberg
Address 401 Bicentennial Way, Santa Rosa, California
Phone Number 7075714000
Fax Number
Sole Proprietor N
Credentials MD

NPI Number Detail

NPI Number 1225112204
Provider Enumeration Date 2006-10-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 401 Bicentennial Way
City Santa Rosa
State California (CA)
Post Code 954032149
Phone Number 7075714000
Fax Number

Provider's Primary Taxonomy Detail

Speciality Diagnostic Radiology
Taxonomy 2085R0202X
Licence No G18081
Definition:
A radiologist who utilizes x-ray, radionuclides, ultrasound and electromagnetic radiation to diagnose and treat disease.

Provider's Other Legacy Identifiers

Identifier Identifier Type Identifier State Identifier Issuer
00G180810 CA --

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FAQs about Stephen S. Eisenberg

What is the unique 10-digit identifier code assigned to Stephen S. Eisenberg by the Centers for Medicare & Medicaid Services?

The Stephen S. Eisenberg has been issued the NPI (National Provider Identifier) 1225112204 by the CMS (Centers for Medicare & Medicaid Services), which serves as a unique identification number for healthcare providers.

Could you please provide the complete street address where Stephen S. Eisenberg is physically located?

The Stephen S. Eisenberg is physically situated at the following address: 401 Bicentennial Way, Santa Rosa, CA, 954032149.

What is the Stephen S. Eisenberg's specialty and taxonomy code?

The Stephen S. Eisenberg's specialty is Diagnostic Radiology, and the corresponding taxonomy code is 2085R0202X.

On what date did Stephen S. Eisenberg receive its 1225112204 assignment from the Centers for Medicare & Medicaid Services?

The Stephen S. Eisenberg was assigned its 1225112204 on 2006-10-25, which is the date when this unique identifier was issued to the organization by the Centers for Medicare & Medicaid Services.

As of what date was the information pertaining to Stephen S. Eisenberg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?

The information related to Stephen S. Eisenberg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2007-07-08.

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