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Individual

DR. KENNETH LEE EISENBERG

Active
Sole proprietor

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
3480 BOB WILSON DRIVE, NMCSD,ATT MEDICAL STAFF SERVICES, SAN DIEGO, CA 92134
(619) 532-6460
(619) 532-6299
Mailing address
3480 BOB WILSON DRIVE, NMCSD,ATT MEDICAL STAFF SERVICES SUITE 301, SAN DIEGO, CA 92134

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
26310
WA

Other

Enumeration date
01/30/2006
Last updated
07/08/2007
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