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Individual

SIMON EISEN

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
6 GLEN COVE DR, ROCKPORT, ME 04856-4240
(207) 596-8391
(207) 593-5316
Mailing address
6 GLEN COVE DR, ROCKPORT, ME 04856-4240
(207) 596-8391
(207) 593-5316

Taxonomy

Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
Primary
015776
ME

Other

Enumeration date
01/12/2007
Last updated
07/08/2007
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