Eisdorfer, Robert Mark
Eisdorfer, Robert Mark is an individual health care provider with primary practice located at 14955 Shady Grove Rd Suite 150, Rockville MD 20850-8700. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Eisdorfer, Robert Mark can be contacted via phone (301) 340-3252.Contact Information
Primary practice address
14955 Shady Grove Rd Suite 150
Rockville MD 20850-8700
Phone: (301) 340-3252
Fax: (301) 340-1423
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | D0041731 | Maryland |
Profile Details
| NPI number | 1891789046 |
|---|---|
| LBN Legal business name | Eisdorfer, Robert Mark |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Sep 2nd, 2005 |
| Last updated | Mar 4th, 2013 - about 12 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1891789046 | NPPES |
| Maryland | MEDICAID | 597761400 | |
| Maryland | Other | 100005281 |
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