Ted Eisenberg in Philadelphia - Plastic And Reconstructive Surgery

Ted Eisenberg - NPI 1386770428

Ted Eisenberg is a Plastic And Reconstructive Surgery in Philadelphia, Pennsylvania. Ted Eisenberg practices all healthcare services and medical treatments related to Plastic And Reconstructive Surgery. The NPI Number for Ted Eisenberg is 1386770428. The last update date is 2007-07-08.

Ted Eisenberg's current location address is 2375 Woodward St, Philadelphia, Pennsylvania. You can contact this provider via phone number 2159692005 and fax number 2159692006. The mailing address for Ted Eisenberg is 2375 Woodward St, Philadelphia, Pennsylvania. To know further, please read the information below!

Provider Profile Detail

Provider Name Ted Eisenberg
Address 2375 Woodward St, Philadelphia, Pennsylvania
Phone Number 2159692005
Fax Number 2159692006
Sole Proprietor Y
Credentials D.O.

NPI Number Detail

NPI Number 1386770428
Provider Enumeration Date 2007-02-25
Last Updated Date 2007-07-08

Provider Mailing Address Detail

Address 2375 Woodward St
City Philadelphia
State Pennsylvania (PA)
Post Code 191155120
Phone Number 2159692005
Fax Number 2159692006

Provider's Primary Taxonomy Detail

Speciality Plastic And Reconstructive Surgery
Taxonomy 2086S0122X
Licence No OS004048L
Definition:
A surgeon who specializes in plastic and reconstructive surgery.

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FAQs about Ted Eisenberg

What is the unique identifier code issued to Ted Eisenberg by the Centers for Medicare & Medicaid Services (CMS)?

The Ted Eisenberg has been assigned the NPI (National Provider Identifier) 1386770428. This 10-digit code serves as a unique identification number for healthcare providers, issued by the CMS.

Could you please provide the complete street address where Ted Eisenberg is physically located?

The Ted Eisenberg is physically situated at the following address: 2375 Woodward St, Philadelphia, PA, 191155120.

What is Ted Eisenberg's primary field of medical specialization, and what is the corresponding taxonomy classification code for this area of expertise?

The primary field of medical specialization for Ted Eisenberg is Plastic And Reconstructive Surgery, and the taxonomy classification code that categorizes this area of expertise is 2086S0122X.

On what date did the Ted Eisenberg receive the assignment of its 1386770428 from the Centers for Medicare & Medicaid Services?

The Ted Eisenberg was issued its 1386770428 by the Centers for Medicare & Medicaid Services on 2007-02-25.

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

The information related to Ted 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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