Individual
DR. STUART RICHARD EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
10 SHAWNEE DRIVE, SUITE 7A, WATCHING, NJ 07069
(908) 753-0916
(908) 753-4616
Mailing address
10 SHAWNEE DRIVE, SUITE 7A, WATCHING, NJ 07069
(908) 753-0916
(908) 753-4616
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
25MA03604000
NJ
2084P0800X
Psychiatry Physician
Primary
25MA03604000
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0776408
—
NJ
Enumeration date
10/17/2006
Last updated
04/06/2021
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