Individual
STUART EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
15 HOSPITAL DR, BRIDGTON, ME 04009-1156
(207) 647-6240
(207) 647-6223
Mailing address
15 HOSPITAL DR, BRIDGTON, ME 04009-1156
(207) 647-6240
(207) 641-6223
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
016650
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
415690099
—
ME
05
—
432706124
—
ME
01
—
DC0798
RAILROAD MEDICARE
ME
Enumeration date
01/25/2006
Last updated
08/17/2010
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