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1003225061
ELYSE R. EISENBERG, MD, INC.
SANTA ROSA, CA
NPI
1003225061
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Entity Type
Organization
Authorized Contact
ELYSE RAE EISENBERG
President
707-523-3375
Organization Subpart ?
No
Primary Taxonomy
261Q00000X Clinic/Center
(Licence: CA G64542)
Enumeration Date
2014-08-04
Last Update Date
2014-08-04
Business Address
ELYSE R. EISENBERG, MD, INC.
725 FARMERS LN STE 10
SANTA ROSA, CA 95405-6710
Phone number: 707-523-3375
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Mailing Address
ELYSE R. EISENBERG, MD, INC.
2685 LESLIE RD
SANTA ROSA, CA 95404-9607
Phone number: 707-477-6617
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