Individual
ELIZABETH B EISENHARDT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
5 BUCKNAM RD, SUITE 2C, FALMOUTH, ME 04105-1392
(207) 781-1500
(207) 781-1507
Mailing address
301C US ROUTE 1, SCARBOROUGH, ME 04074-9701
(207) 396-8600
(207) 396-8632
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
Primary
MD18198
ME
208M00000X
Hospitalist Physician
MD18198
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
434423399
—
ME
Enumeration date
12/01/2006
Last updated
10/24/2013
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