Individual
BARRY I EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
743 JEFFERSON AVE, STE 104, SCRANTON, PA 18510
(570) 346-4621
(570) 346-5109
Mailing address
743 JEFFERSON AVE, STE 104, SCRANTON, PA 18510
(570) 346-4621
(570) 346-5109
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
OS002883L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0015091060006
—
PA
Enumeration date
05/24/2006
Last updated
12/18/2013
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