Individual provider · Type 1 NPI

Ted Eisenberg, DO

Plastic and Reconstructive Surgery Physician · Philadelphia, PA

NPI number 1386770428 Active

Practice location

2375 Woodward St, 102
Philadelphia, PA 19115-5120

Call (215) 969-2005 Map

Fax (215) 969-2006

Specialties and licenses

TaxonomyCodeLicense
Plastic and Reconstructive Surgery Physician Primary 2086S0122XOS004048L (PA)

Plastic and Reconstructive Surgery Physician: A surgeon who specializes in plastic and reconstructive surgery.

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About NPI 1386770428

Ted Eisenberg, DO's National Provider Identifier is 1386770428, issued on Feb 25, 2007. The primary taxonomy on file is Plastic and Reconstructive Surgery Physician (2086S0122X), and the practice location is in Philadelphia, PA. The record was last updated on Jul 8, 2007.