Eisen, Thomas D

Eisen, Thomas D is an individual health care provider with primary practice located at 136 Sherman Ave Suite 405, New Haven CT 06511-5238. He recently has only one registered license in Allopathic & Osteopathic Physicians / Nephrology, which is considered as his primary health care specialty. Eisen, Thomas D can be contacted via phone (203) 787-0117.

Contact Information

Primary practice address
136 Sherman Ave Suite 405 New Haven CT 06511-5238
Phone: (203) 787-0117
Fax: (203) 777-3559
Website:
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Health care specialties

SpecialtyCodeLicense #State
Allopathic & Osteopathic Physicians / Nephrology 207RN0300X 28182 Connecticut

Profile Details

NPI number 1427044684
LBN Legal business name Eisen, Thomas D
Credentials Doctor of Medicine (MD)
Entity Individual
Sole proprietor 1 No
Enumeration date Sep 23rd, 2005
Last updated Oct 11th, 2011 - about 13 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.

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Identifiers

StateTypeNumberIssuer
All States NPI 1427044684 NPPES
Connecticut MEDICAID 001281823

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