Individual
MARVIN A EISENGART
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
325C KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4517
(207) 873-1990
(207) 877-6639
Mailing address
325C KENNEDY MEMORIAL DR, WATERVILLE, ME 04901-4517
(207) 873-1990
(207) 877-6639
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
007665
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
010354796001
ANTHEM
ME
01
—
1044422
AETNA
ME
01
—
M58562
CIGNA
ME
Enumeration date
10/18/2005
Last updated
07/09/2007
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