Individual
MRS. SUSAN JUDITH EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
6 WOODLAND RD STE 304, SAINT HELENA, CA 94574-9562
(707) 963-7200
Mailing address
6 WOODLAND RD STE 304, SAINT HELENA, CA 94574-9562
(707) 963-7200
Taxonomy
Speciality
Code
Description
License number
State
207RC0001X
Clinical Cardiac Electrophysiology Physician
Primary
G065056
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
036290
HILL PHYSICIANS PROVIDER
CA
01
—
DB0077
MC RAIL ROAD GROUP NUMBER
CA
05
—
G65056
—
CA
05
—
GR0098120
—
CA
01
—
P01474554
RAILROAD MEDICARE (JMH)
CA
Enumeration date
09/20/2006
Last updated
08/06/2019
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