| Elyse R. Eisenberg, Md, Inc. | |
|
725 Farmers Ln Ste 10 Santa Rosa CA 95405-6710 | |
| (707) 523-3375 | |
| (866) 870-0815 |
| Full Name | Elyse R. Eisenberg, Md, Inc. |
|---|---|
| Speciality | Clinic/center |
| Location | 725 Farmers Ln, Santa Rosa, California |
| Authorized Official Name and Position | Elyse Rae Eisenberg (PRESIDENT) |
| Authorized Official Contact | 7075233375 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Elyse R. Eisenberg, Md, Inc. 2685 Leslie Rd Santa Rosa CA 95404-9607 Ph: (707) 477-6617 | Elyse R. Eisenberg, Md, Inc. 725 Farmers Ln Ste 10 Santa Rosa CA 95405-6710 Ph: (707) 523-3375 |
| NPI Number | 1003225061 |
|---|---|
| Provider Enumeration Date | 08/04/2014 |
| Last Update Date | 08/04/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1003225061 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 261Q00000X | Clinic/center | G64542 (California) | Primary |
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