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Individual

DR. DEBORAH IDA EISEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
530 LAKEHURST RD, SUITE 306, TOMS RIVER, NJ 08755-8063
(732) 818-9400
(732) 818-0210
Mailing address
530 LAKEHURST RD, SUITE 306, TOMS RIVER, NJ 08755-8063
(732) 818-9400
(732) 818-0210

Taxonomy

Speciality
Code
Description
License number
State
207RP1001X
Pulmonary Disease Physician
Primary
25MA06408000
NJ

Other

Enumeration date
09/20/2005
Last updated
02/13/2008
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