Dr. Jared S Eisen, DMD
Dentist, General Practice in New York, NY. Individual provider (NPI-1).
NPI number1154539005
StatusActive
Last updated in NPPESJul 8, 2007
Details
- NPI
- 1154539005
- Entity type
- Individual (NPI-1)
- Name
- Dr. Jared S Eisen
- Credential
- DMD
- Sex
- Male
- Sole proprietor
- Yes
- Enumeration date
- May 21, 2007
- Last updated
- Jul 8, 2007
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 1223G0001X | Dentist, General Practice | 051906 | NY | Yes |
Practice location
200 Madison AveSuite 2201
New York, NY 10016-3903
Phone 212-683-2530
Mailing address
700 1st St12-P
Hoboken, NJ 07030-8802
Phone 201-683-4012
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