Individual
DANIEL A. EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
5501 OLD YORK RD, LEVY BLDG. GROUND FLOOR, PHILADELPHIA, PA 19141-3018
(215) 456-6200
(215) 456-8996
Mailing address
101 E OLNEY AVE, SUITE 505, PHILADELPHIA, PA 19120-2421
(215) 456-7000
(215) 254-2599
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
MD064038L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
01688974
—
PA
Enumeration date
06/16/2006
Last updated
07/22/2010
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