Provider Demographics
NPI:1093376915
Name:EISENBERG, DANIEL (AUD)
Entity Type:Individual
Prefix:DR
First Name:DANIEL
Middle Name:
Last Name:EISENBERG
Suffix:
Gender:M
Credentials:AUD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5530 WISCONSIN AVE STE 1540
Mailing Address - Street 2:
Mailing Address - City:CHEVY CHASE
Mailing Address - State:MD
Mailing Address - Zip Code:20815-4321
Mailing Address - Country:US
Mailing Address - Phone:301-907-0002
Mailing Address - Fax:301-907-7709
Practice Address - Street 1:5530 WISCONSIN AVE STE 1540
Practice Address - Street 2:
Practice Address - City:CHEVY CHASE
Practice Address - State:MD
Practice Address - Zip Code:20815-4321
Practice Address - Country:US
Practice Address - Phone:301-907-0002
Practice Address - Fax:301-907-7709
Is Sole Proprietor?:No
Enumeration Date:2019-06-21
Last Update Date:2023-03-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01475237600000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes237600000XSpeech, Language and Hearing Service ProvidersAudiologist-Hearing Aid Fitter