Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Dr. Theodore E Eisenstat, MD

Individual provider Surgery Physician · NPI 1619948536

Dr. Theodore E Eisenstat, MD is a Surgery Physician in Edison, New Jersey. Practices as a sole proprietor. Licensed in New Jersey.

Licensed in
NJ
In the registry since
2006
Specialties on file
2
What do these letters mean?
MD — Doctor of Medicine
A physician who completed allopathic medical school.

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Practice location Address checks out

3900 Park Ave Ste 101
Edison, NJ 08820-3032
Phone: (732) 494-6640
Fax: (732) 549-8204
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Specialties & licences

Colon & Rectal Surgery Physician (primary) Taxonomy 208C00000X · Licence 25MA024994100 (NJ)
Surgery Physician Taxonomy 208600000X · Licence 25MA02494100 (NJ)

Record details

NPI number1619948536
Entity typeIndividual (Type 1)
GenderMale
Credentials MD
Sole proprietorYes
NPI enumeratedJanuary 30, 2006
Last updated in NPPESApril 11, 2024
Certification dateApril 11, 2024
Mailing address3900 Park Ave, Suite 101, Edison, NJ 08820-3032

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