Provider Demographics
NPI:1275553372
Name:EISENSTEIN, NORMAN (PHD)
Entity type:Individual
Prefix:DR
First Name:NORMAN
Middle Name:
Last Name:EISENSTEIN
Suffix:
Gender:M
Credentials:PHD
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Mailing Address - Street 1:151 KNOLLCROFT RD
Mailing Address - Street 2:VANJ HEALTHCARE SYSTEM MENTAL HEALTH AND BEHAVIORAL SCI
Mailing Address - City:LYONS
Mailing Address - State:NJ
Mailing Address - Zip Code:07939-5001
Mailing Address - Country:US
Mailing Address - Phone:908-647-0180
Mailing Address - Fax:908-604-5255
Practice Address - Street 1:151 KNOLLCROFT RD
Practice Address - Street 2:VANJ HEALTHCARE SYSTEM MENTAL HEALTH AND BEHAVIORAL SCI
Practice Address - City:LYONS
Practice Address - State:NJ
Practice Address - Zip Code:07939-5001
Practice Address - Country:US
Practice Address - Phone:908-647-0180
Practice Address - Fax:908-604-5255
Is Sole Proprietor?:Yes
Enumeration Date:2006-07-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ35SI00248900103G00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes103G00000XBehavioral Health & Social Service ProvidersClinical Neuropsychologist