Provider First Line Business Practice Location Address:
MICHELLE EISENHOWER M.D.
Provider Second Line Business Practice Location Address:
2301 S. BROAD ST., M.O.B. SUITE 201
Provider Business Practice Location Address City Name:
PHILADELPHIA
Provider Business Practice Location Address State Name:
PA
Provider Business Practice Location Address Postal Code:
19148
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
215-952-9515
Provider Business Practice Location Address Fax Number:
215-952-1431
Provider Enumeration Date:
07/24/2007