Provider Demographics
NPI:1578734414
Name:DR MORRIS EISEN, D.O.
Entity Type:Organization
Organization Name:DR MORRIS EISEN, D.O.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DOCTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:MORRIS
Authorized Official - Middle Name:
Authorized Official - Last Name:EISEN
Authorized Official - Suffix:
Authorized Official - Credentials:DO
Authorized Official - Phone:856-772-9600
Mailing Address - Street 1:114 MORNINGSIDE DR
Mailing Address - Street 2:
Mailing Address - City:CHERRY HILL
Mailing Address - State:NJ
Mailing Address - Zip Code:08003-1022
Mailing Address - Country:US
Mailing Address - Phone:856-772-9600
Mailing Address - Fax:856-772-9650
Practice Address - Street 1:2301 E EVESHAM RD STE 406
Practice Address - Street 2:
Practice Address - City:VOORHEES
Practice Address - State:NJ
Practice Address - Zip Code:08043-4505
Practice Address - Country:US
Practice Address - Phone:856-772-9600
Practice Address - Fax:856-772-9650
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-19
Last Update Date:2008-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJMB38543208G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes208G00000XAllopathic & Osteopathic PhysiciansThoracic Surgery (Cardiothoracic Vascular Surgery)Group - Multi-Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJCF8509OtherRAILROAD MEDICARE