Individual
LISA RENEE EILAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
30 PROSPECT AVENUE, WFAN BLDG PC218, HACKENSACK, NJ 07601-0760
(551) 996-5362
(212) 590-7800
Mailing address
30 PROSPECT AVENUE, WFAN BLDG PC218, HACKENSACK, NJ 07601-1915
(551) 996-5362
(551) 996-3232
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
223303
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
223303
NY
2080N0001X
Neonatal-Perinatal Medicine Physician
Primary
25MA11584600
NJ
Other
Enumeration date
07/15/2006
Last updated
12/09/2022
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