Most Relevant Information
Provider Data
| NPI Number: | 1003804402 |
| Provider Name: | EDWARD EISENHOWER M.D. |
| Entity Type: | Individual |
| Taxonomy Code: | 207ZP0102X |
| Specialty: | Pathology |
| License Number: | MD019648E |
Most Important Dates
| Enumeration Date: | 10/10/2005 |
| Last Updated: | 07/25/2011 |
Provider Practice Location
500 UNIVERSITY DR
HERSHEY
PA
170332360
Practice Location Phone/Fax
| Phone: | 8002431455 |
| Fax: |
Provider Mailing Location
PO BOX 858
MC A410
HERSHEY
PA
170330858
Provider Mailing Phone/Fax
| Phone: | 8002431455 |
| Fax: |