Individual
ANNA S EISENSTEIN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
15 YORK STREET, LMP 5040, NEW HAVEN, CT 06510-3220
(203) 785-4632
Mailing address
15 YORK STREET, LMP 5040, NEW HAVEN, CT 06510-3220
(203) 500-3918
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
66236
CT
207R00000X
Internal Medicine Physician
267424
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
06/07/2016
Last updated
07/01/2020
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