Individual
DAVID EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
85 SEYMOUR ST, SUITE 700, HARTFORD, CT 06106-5501
(860) 696-2040
(860) 696-2050
Mailing address
85 SEYMOUR ST, SUITE 700, HARTFORD, CT 06106-5501
(860) 696-2040
(860) 696-2050
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD431341
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
047715
CONNECTICARE
CT
01
—
061200871
CIGNA
CT
05
—
1366650038
—
CT
01
—
46291
HEALTH NEW ENGLAND
CT
01
—
9956346
AETNA
CT
01
—
P4028960
OXFORD
CT
Enumeration date
05/18/2007
Last updated
08/11/2010
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