Eisenstat, Theodore E
Eisenstat, Theodore E is an sole proprietor health care provider with primary practice located at 3900 Park Ave Suite 101, Edison NJ 08820-3032. He recently has 2 registered licenses in different health care specialties including Allopathic & Osteopathic Physicians / Surgery, Allopathic & Osteopathic Physicians / Colon & Rectal Surgery. Allopathic & Osteopathic Physicians / Colon & Rectal Surgery is his primary health care specialty. Eisenstat, Theodore E can be contacted via phone (732) 494-6640.Contact Information
Primary practice address
3900 Park Ave Suite 101
Edison NJ 08820-3032
Phone: (732) 494-6640
Fax: (732) 549-8204
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Surgery | 208600000X | 25MA02494100 | New Jersey |
| Allopathic & Osteopathic Physicians / Colon & Rectal Surgery | 208C00000X | 25MA024994100 | New Jersey |
Profile Details
| NPI number | 1619948536 |
|---|---|
| LBN Legal business name | Eisenstat, Theodore E |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | Yes |
| Enumeration date | Jan 30th, 2006 |
| Last updated | Apr 11th, 2024 - about last year |
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 | 1619948536 | NPPES |
| New Jersey | MEDICAID | 1595008 |
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