Active NPIIndividual provider

Dr. Marc D Eisen, MD

Otolaryngology, Otology & Neurotology in Farmington, Connecticut

NPI Number1649345513
Practice location
40 Stanford Dr, Farmington, CT 06032-2454
Fax
860-640-4478
Last updated
November 10, 2023

Marc D. Eisen is an Otolaryngology, Otology & Neurotology based in Farmington, CT. Marc D. Eisen practices in Farmington, CT and has the professional credentials of MD. The NPI Number for Marc D. Eisen is 1649345513 and holds a License No. 045054 (CT). The current practice location address for Marc D. Eisen is 40 Stanford Dr, Farmington, CT 06032-2454 and can be reached out via phone at 860-640-4455 and via fax at 860-640-4478.

Provider Profile Details

NPI Number
1649345513
Provider Name
Marc D. Eisen
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
40 Stanford Dr, Farmington, CT 06032-2454
Phone Number
860-640-4455
Fax Number
860-640-4478
Primary Taxonomy
Otolaryngology, Otology & Neurotology · 207YX0901X
Sole Proprietor
No
Provider Enumeration Date
November 23, 2006
Last Update Date
November 10, 2023
Certification Date
November 10, 2023
NPI Status
Active

Provider Business Practice Location Address Details

Address
40 Stanford Dr
Farmington, CT 06032-2454
Zip
06032-2454
Phone Number
860-640-4455
Fax Number
860-640-4478
Farmington, CT 06032Get directions →

Provider Business Mailing Address Details

Address
40 Stanford Dr
Farmington, CT 06032-2454
City
Farmington
State
CT
Zip
06032-2454
Phone Number
860-640-4455
Fax Number
860-640-4478

License Information

License Number
045054
License State
CT
Taxonomy
Otolaryngology, Otology & Neurotology · 207YX0901X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Dr. Marc D Eisen, MD?

The NPI number of Dr. Marc D Eisen, MD is 1649345513. It was assigned on November 23, 2006 and is currently active in the NPPES registry.

What is the specialty of Dr. Marc D Eisen, MD?

Dr. Marc D Eisen, MD is registered under the primary taxonomy Otolaryngology, Otology & Neurotology (code 207YX0901X), licensed in CT under license number 045054.

Where does Dr. Marc D Eisen, MD practice?

The practice location is 40 Stanford Dr, Farmington, CT 06032-2454. The office can be reached at 860-640-4455 (phone) or 860-640-4478 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1649345513 directly on the NPPES registry website.

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