Individual
DR. ALEXANDER M EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
1204 W MAIN ST, CHARLOTTESVILLE, VA 22903-2824
(434) 924-5321
Mailing address
PO BOX 749112, ATLANTA, GA 30374-9112
(434) 295-1000
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
Primary
0102201876
VA
208000000X
Pediatrics Physician
5800150
OH
208000000X
Pediatrics Physician
DO.1311
AL
208D00000X
General Practice Physician
0102201876
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0102201876
—
VA
05
—
146239
—
AL
Enumeration date
05/05/2006
Last updated
04/22/2026
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