Individual
DR. MATTHEW ADAM EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
315 MARTIN LUTHER KING JR WAY, MAILSTOP 315-C5-ADS, TACOMA, WA 98405-4234
(253) 403-7307
Mailing address
13894 SE 64TH ST, BELLEVUE, WA 98006-4810
(253) 320-8868
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
MD00033811
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8194136
—
WA
Enumeration date
10/27/2006
Last updated
06/22/2011
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