Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207R00000X | Internist | MD007476E | PA |
N | 111NI0900X | Internist | MD007476E | PA |
Y | 207RA0201X | Internist - Allergy & Immunology | MD007476E | PA |
NPI | 1053416008 |
---|---|
Provider Name | Joel Eisner |
First Address | Phoenixville, PA 19460-4478 |
Second Address | Phoenixville, PA 19460-4478 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 14/09/2006 |
Last Update Date | 10/02/2022 |