Individual
ELLEN HARRIET EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
1 MEDICAL CENTER DR, DHMC - INTERNAL MEDICINE, LEBANON, NH 03756-1000
(603) 653-9500
(603) 650-0915
Mailing address
1800 S OCEAN BLVD APT 8E, BOCA RATON, FL 33432-8546
(802) 356-5788
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
12652
NH
207R00000X
Internal Medicine Physician
Primary
ME160421
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1008265
—
VT
05
—
30201546
—
NH
Enumeration date
06/29/2006
Last updated
06/14/2023
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