IndividualActive
Marc Eisen, M.D.
NPI 1649345513 · Otology & Neurotology Physician · Farmington, CT
Provider details
- NPI number
- 1649345513
- Entity type
- Individual
- Primary specialty
- Otology & Neurotology PhysicianAllopathic & Osteopathic Physicians
- Credential
- M.D.
- Sex
- Male
- Sole proprietor
- No
- License
- 045054 (CT)
Specialties & taxonomies
Allopathic & Osteopathic Physicians
Practice location
40 Stanford Dr
Farmington, CT 06032-2454
Phone: (860) 640-4455
Fax: (860) 640-4478
Approximate (ZIP-level) locationGet directions
Mailing address
40 Stanford Dr
Farmington, CT 06032-2454
Registry dates
- Enumerated
- 2006-11-23
- Last updated
- 2023-11-10
- Certified
- 2023-11-10
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.