Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2084N0400X | Neurologist | MA35860 | NJ |
NPI | 1033164173 |
---|---|
Provider Name | Leonard Scott Eisenberg |
First Address | Livingston, NJ 07039-4892 |
Second Address | Livingston, NJ 07039-4892 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 24/05/2006 |
Last Update Date | 08/07/2007 |