Individual
DR. JARED S EISEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DMD
Contact information
Practice address
200 MADISON AVE, SUITE 2201, NEW YORK, NY 10016-3903
(212) 683-2530
Mailing address
700 1ST ST, 12-P, HOBOKEN, NJ 07030-8802
(201) 683-4012
Taxonomy
Speciality
Code
Description
License number
State
1223G0001X
General Practice Dentistry
Primary
051906
NY
Other
Enumeration date
05/21/2007
Last updated
07/08/2007
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