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Individual

DR. MARC S EISENBERG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

Contact information

Practice address
56 FRANKLIN ST, ATTN LABORATORY, WATERBURY, CT 06706-1221
(203) 709-6053
(203) 709-3156
Mailing address
56 FRANKLIN ST, ATTN LABORATORY, WATERBURY, CT 06706-1221
(203) 709-6053
(203) 709-3156

Taxonomy

Speciality
Code
Description
License number
State
207ZP0102X
Anatomic Pathology & Clinical Pathology Physician
Primary
015075
CT

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
001150755
CT
Enumeration date
08/09/2006
Last updated
07/08/2007
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