Individual
DAVID J EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 PRUDENTIAL DR, BAPTIST MEDICAL CENTER-DOWNTOWN, JACKSONVILLE, FL 32207-8202
(904) 202-1347
Mailing address
10 LOUISE DR, NEW WINDSOR, NY 12553-7712
(845) 562-7995
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
183233-1
NY
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
ME100238
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2808285-00
—
FL
01
—
30275
BCBS
FL
Enumeration date
02/08/2006
Last updated
09/01/2010
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