Individual
JEROME NORMAN EISMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
8851 CENTER DR, SUITE 310, LA MESA, CA 91942-3017
(619) 749-7710
(619) 749-7710
Mailing address
PO BOX 2878, LA MESA, CA 91943-2878
(619) 749-7710
(619) 749-7710
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
C33319
CA
Other
Enumeration date
06/30/2006
Last updated
07/08/2007
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