Individual
DR. TEDDI F EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
505 WATERS EDGE, NEWTOWN SQUARE, PA 19073-2130
(215) 861-4119
(215) 861-4121
Mailing address
505 WATERS EDGE, NEWTOWN SQUARE, PA 19073-2130
Taxonomy
Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
55511
MA
2083X0100X
Occupational Medicine Physician
Primary
MD049135L
PA
Other
Enumeration date
02/02/2007
Last updated
09/30/2013
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