| Provider / Organization | NPI | Date Certified |
|---|---|---|
| MARC D. EISEN | 1649345513 | 2023-11-10 |
Marc D Eisen MD [M] graduated in 2000 from Perelman School Of Med At The University Of Pennsylvania and primarily specializes in Otolaryngology.
Marc D. Eisen is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1649345513. Registration indicates Marc D. Eisen is a provider of services with a specialization in Allopathic & Osteopathic Physicians, Otolaryngology (Otolaryngology: Otology & Neurotology, ) (Specialist Network, ) (Otolaryngology Otology & Neurotology, Allopathic & Osteopathic Physicians) (Otolaryngology, )
| PECOS ID | 9537161039 |
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Dr. Marc D. Eisen M.D. |
| Practice Office Address | 40 STANFORD DR FARMINGTON, CT US |
| Practice Office Telephone | 8606404455 |
| Practice Office Fax | 8606404478 |
| Mailing Address | 40 STANFORD DR FARMINGTON, CT 060322454 US |
| Business Telephone | 8606404455 |
| Business Fax | 8606404478 |
| Code | Practice | License No State |
|---|---|---|
| 207YX0901X PRIMARY | Allopathic & Osteopathic Physicians Otolaryngology Otolaryngology: Otology & Neurotology Specialist Network Otolaryngology Otology & Neurotology Allopathic & Osteopathic Physicians Otolaryngology | 045054
CT |