Organization
HOWARD M. EISENSTODT, M.D., P.A.
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. HOWARD M. EISENSTODT M.D. (PRESIDENT)
(973) 376-6400
Entity
Organization
Contact information
Practice address
75 MAIN ST., SUITE 207, MILLBURN, NJ 07041-1322
(973) 376-6400
(973) 376-0797
Mailing address
75 MAIN ST., SUITE 207, MILLBURN, NJ 07041-1322
(973) 376-6400
(973) 376-0797
Taxonomy
Speciality
Code
Description
License number
State
207W00000X
Ophthalmology Physician
Primary
25MA01690200
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2768402
—
NJ
Enumeration date
01/04/2010
Last updated
09/19/2012
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