Individual
DIANA DEE EISENSTEIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
APN
Contact information
Practice address
3 COOPER PLZ, SUITE 411, CAMDEN, NJ 08103-1438
(856) 342-3412
(856) 365-1180
Mailing address
1 FEDERAL ST, STE SW200, CAMDEN, NJ 08103-1155
(856) 963-6888
(856) 968-8499
Taxonomy
Speciality
Code
Description
License number
State
363LF0000X
Family Nurse Practitioner
Primary
26NJ00333600
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
NJ00333600
STATE LICENSE
NJ
Enumeration date
08/15/2011
Last updated
06/21/2016
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