Provider Demographics
NPI:1811191976
Name:EISENBERG, BARBARA F (MD)
Entity Type:Individual
Prefix:
First Name:BARBARA
Middle Name:F
Last Name:EISENBERG
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4051 FREEMANSBURG AVE
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18045-5596
Mailing Address - Country:US
Mailing Address - Phone:484-503-7474
Mailing Address - Fax:833-203-6416
Practice Address - Street 1:4051 FREEMANSBURG AVE
Practice Address - Street 2:
Practice Address - City:EASTON
Practice Address - State:PA
Practice Address - Zip Code:18045-5596
Practice Address - Country:US
Practice Address - Phone:484-503-7474
Practice Address - Fax:833-203-6416
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2018-09-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC2007-01050207V00000X
PAMD463879207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC14582OtherBCBS
NC5907472Medicaid
SCN0105BOtherSOUTH CAROLINA MEDICAID
NC5907472Medicaid
SCN0105BOtherSOUTH CAROLINA MEDICAID
NC2069816Medicare PIN