Individual
EDWARD ADAM EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
24 MAPLE ST, NORWALK, CT 06850-3815
(203) 852-2281
Mailing address
5 MAPLE STREET, NORWALK HOSPITAL, NORWALK, CT 06856
(203) 852-2281
Taxonomy
Speciality
Code
Description
License number
State
146D00000X
Personal Emergency Response Attendant
Primary
038832
CT
207P00000X
Emergency Medicine Physician
38832
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
38832
38832
CT
Enumeration date
07/17/2006
Last updated
03/04/2013
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