ELYSE R. EISENBERG MD INC. NPI 1497954911

NPI Information

ELYSE R. EISENBERG MD, INC. is an addiction medicine family medicine in Santa Rosa, CA. The provider is a family medicine physician who specializes in the diagnosis and treatment of addictions. ELYSE R. EISENBERG MD, INC. NPI is 1497954911. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Other Name Is Elyse Eisenberg, Md.

The provider's business location address is:

725 FARMERS LN STE 10
SANTA ROSA, CA
ZIP 95405-743
Phone: (707) 575-5355
Fax: (866) 870-0815

The provider's authorized official is Elyse Rae Eisenberg .
The authorized official title is Ceo And President and has the following contact phone number (707) 575-5355.

The enumeration date for this NPI number is 7/13/2007 and was last updated on 4/10/2017.

Taxonomy Codes

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Other Identifiers

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