Provider Demographics
NPI:1124278957
Name:EISEN, BARBARA L (VMD)
Entity type:Individual
Prefix:DR
First Name:BARBARA
Middle Name:L
Last Name:EISEN
Suffix:
Gender:F
Credentials:VMD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:163 BURLINGTON PATH RD
Mailing Address - Street 2:
Mailing Address - City:CREAM RIDGE
Mailing Address - State:NJ
Mailing Address - Zip Code:08514-1622
Mailing Address - Country:US
Mailing Address - Phone:609-758-3030
Mailing Address - Fax:609-758-6261
Practice Address - Street 1:163 BURLINGTON PATH RD
Practice Address - Street 2:
Practice Address - City:CREAM RIDGE
Practice Address - State:NJ
Practice Address - Zip Code:08514-1622
Practice Address - Country:US
Practice Address - Phone:609-758-3030
Practice Address - Fax:609-758-6261
Is Sole Proprietor?:Yes
Enumeration Date:2008-09-29
Last Update Date:2008-09-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ29VI00180900174M00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174M00000XOther Service ProvidersVeterinarian