Individual
DR. SCOTT R EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Contact information
Practice address
274 HIGHWAY 35, EATONTOWN, NJ 07724-2105
(732) 440-7336
Mailing address
379 CAMPUS DR FL 4, SOMERSET, NJ 08873-1161
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
25MB06606100
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8207003
—
NJ
Enumeration date
11/29/2005
Last updated
05/20/2024
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