Individual
DR. JUSTIN C EISENMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718
(302) 733-1840
Mailing address
4755 OGLETOWN STANTON RD, NEWARK, DE 19718-2200
(302) 722-1840
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
C2-0011545
DE
207P00000X
Emergency Medicine Physician
DO0000002690
TN
Other
Enumeration date
03/27/2009
Last updated
09/03/2019
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