Individual
DR. ALIZA VAZANA EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPM
Contact information
Practice address
39 RITTENHOUSE PL, ARDMORE, PA 19003-2209
(610) 642-8837
(610) 642-1607
Mailing address
39 RITTENHOUSE PL, ARDMORE, PA 19003-2209
(610) 642-8837
(610) 642-1607
Taxonomy
Speciality
Code
Description
License number
State
213EP1101X
Primary Podiatric Medicine Podiatrist
SC006113
PA
213ES0103X
Foot & Ankle Surgery Podiatrist
Primary
SC006113
PA
Other
Enumeration date
10/26/2009
Last updated
02/17/2020
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