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Individual
DR. THEODORE MATTHEW EISON
Active
Individual
DR. THEODORE MATTHEW EISON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Taxonomy
Speciality
Code
Description
License number
State
2080P0210X
Pediatric Nephrology Physician
Primary
35122
SC
2080P0210X
Pediatric Nephrology Physician
42534
TN
Other
Enumeration date
01/09/2007
Last updated
03/22/2018
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