Individual
ROBERT MARK EISDORFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
14955 SHADY GROVE RD, SUITE 150, ROCKVILLE, MD 20850-8700
(301) 340-3252
(301) 340-1423
Mailing address
14955 SHADY GROVE RD, SUITE 150, ROCKVILLE, MD 20850-8700
(301) 340-3252
(301) 340-1423
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
D0041731
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
100005281
RAILROAD MEDICARE
MD
05
—
597761400
—
MD
Enumeration date
09/02/2005
Last updated
03/04/2013
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