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Individual

DR. SUSAN A EISENMAN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
835 HOSPITAL ROAD, INDIANA, PA 15701-0788
(724) 357-7009
(724) 357-7414
Mailing address
835 HOSPITAL ROAD; PO BOX 788, EMERGENCY DEPARTMENT, INDIANA, PA 15701-0788
(724) 357-7121
(724) 357-7479

Taxonomy

Speciality
Code
Description
License number
State
2083X0100X
Occupational Medicine Physician
Primary
MD-043141-L
PA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0012946570000
PA
01
253228
UPMC
PA
01
457488
BLUE SHIELD
PA
Enumeration date
03/30/2006
Last updated
03/27/2009
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