Individual
JESSE EISLER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
460 HARTFORD TPKE, SUITE B, VERNON, CT 06066-4845
(860) 872-6229
(860) 872-6252
Mailing address
460 HARTFORD TPKE, SUITE B, VERNON, CT 06066-4845
(860) 872-6229
(860) 872-6252
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
043032
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061746779
TAX ID
CT
Enumeration date
03/17/2006
Last updated
12/19/2007
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