Individual
JONATHAN DAVID EISNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
11751 ROCK LANDING DR STE 1, NEWPORT NEWS, VA 23606-4233
(757) 240-2700
(757) 240-2701
Mailing address
860 OMNI BLVD STE 101, NEWPORT NEWS, VA 23606-4430
(757) 232-8769
(757) 232-8875
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
0101050608
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
006008747
—
VA
Enumeration date
08/16/2005
Last updated
10/04/2023
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