institution
Elyse R. Eisenberg Md, Inc.
Addiction Medicine (Family Medicine) Physician in Santa Rosa, California
NPI 1497954911

Elyse R. Eisenberg Md, Inc. is an Addiction Medicine (Family Medicine) Physician based in Santa Rosa, CA and is specialized in Addiction Medicine. Elyse R. Eisenberg Md, Inc. practices in Santa Rosa, CA. The NPI Number for Elyse R. Eisenberg Md, Inc. is 1497954911 and holds a License No. G64542 (California).

The current practice location address for Elyse R. Eisenberg Md, Inc. is 725 Farmers Ln Ste 10, Santa Rosa, CA and can be reached out via phone at 707-575-5355 and via fax at 866-870-0815.

Location: 725 Farmers Ln Ste 10, Santa Rosa, CA, 95405-6743
institution
Provider Profile Details
NPI Number
1497954911
Provider Name
Elyse R. Eisenberg Md, Inc.
Credential
Provider Entity Type
Organization
Address
725 Farmers Ln Ste 10, Santa Rosa, CA, 95405-6743
Phone Number
707-575-5355
Fax Number
866-870-0815
Provider Enumeration Date
07/13/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
14979554911 01 GROUP'S NPI
institution
Provider Business Practice Location Address Details
Address
725 Farmers Ln Ste 10
City
State
Zip
95405-6743
Phone Number
707-575-5355
Fax Number
866-870-0815
person
Provider Business Mailing Address Details
Address
725 Farmers Ln Ste 10
City
State
Zip
95405-6743
Phone Number
707-575-5355
Fax Number
866-870-0815
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Family Medicine
Speciality
Addiction Medicine
Taxonomy
License No.
G64542 (California)
Definition
A family medicine physician who specializes in the diagnosis and treatment of addictions.
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