Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Tara Raquel Eisenberg, MD

Individual provider Diagnostic Radiology Physician · NPI 1417072596

Tara Raquel Eisenberg, MD is a Diagnostic Radiology in Philadelphia, Pennsylvania. Graduated from Jefferson Medical College of Thomas Jefferson University in 2001, 25 years ago. Practices with Connecticut Imaging Partners LLC, a 107-clinician group. Licensed in Pennsylvania.

Years since qualifying
25
Trained at
Jefferson Medical College of Thomas Jefferson University
Licensed in
PA
In the registry since
2007
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

111 S 11th St Ste 3390
Philadelphia, PA 19107-4824
Phone: (215) 955-6226
Fax: (215) 923-1562
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Diagnostic Radiology Physician (primary) Taxonomy 2085R0202X · Licence MD437294 (PA)

Record details

NPI number1417072596
Entity typeIndividual (Type 1)
GenderFemale
Credentials MD
Sole proprietorNo
NPI enumeratedMarch 20, 2007
Last updated in NPPESJune 10, 2010

Medicare enrollment

From the CMS Doctors & Clinicians file — this clinician is enrolled in Medicare.

Medicare specialtyDIAGNOSTIC RADIOLOGY
Medical schoolJEFFERSON MEDICAL COLLEGE OF THOMAS JEFFERSON UNIVERSITY
Graduated 2001 (25 years in practice)
Group practice Connecticut Imaging Partners Llc — 107 clinicians
Accepts Medicare assignment Not indicated
Practice locations8 on file with Medicare

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