Provider Demographics
NPI:1134618143
Name:YEISER, ELEANORA ROBINSON
Entity type:Individual
Prefix:
First Name:ELEANORA
Middle Name:ROBINSON
Last Name:YEISER
Suffix:
Gender:
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:135 S BRYN MAWR AVE STE 205
Mailing Address - Street 2:
Mailing Address - City:BRYN MAWR
Mailing Address - State:PA
Mailing Address - Zip Code:19010-3129
Mailing Address - Country:US
Mailing Address - Phone:484-337-2885
Mailing Address - Fax:
Practice Address - Street 1:48 - 50 FAIRFIELD STREET
Practice Address - Street 2:
Practice Address - City:MONCLAIR
Practice Address - State:NJ
Practice Address - Zip Code:07042
Practice Address - Country:US
Practice Address - Phone:973-744-8511
Practice Address - Fax:973-744-6356
Is Sole Proprietor?:No
Enumeration Date:2018-05-04
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ25MB11050200207Q00000X, 207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine