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Individual
JONATHAN A EISENGART
Active
Individual
JONATHAN A EISENGART
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
35-085315
OH
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000368344
ANTHEM ID#
OH
01
—
1193810001
DMERC MEDICARE
OH
05
—
2491754
—
OH
01
—
P00282497
RAILROAD MEDICARE
—
Enumeration date
08/24/2005
Last updated
11/07/2007
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