Individual
KEITH ALAN EISENBERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
61 HUDSON ST, HACKENSACK, NJ 07601-6943
(201) 581-0778
Mailing address
61 HUDSON ST, HACKENSACK, NJ 07601-6943
(201) 581-0778
Taxonomy
Speciality
Code
Description
License number
State
111N00000X
Chiropractor
Primary
38MC00412100
NJ
Other
Enumeration date
09/14/2020
Last updated
09/14/2020
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