DR. Staci R Eisenberg, MD

NPI #1033109301 in Jamaica Plain, Massachusetts

Provider Information

NPI Number: 1033109301
Entity Type: Individual
Name: DR. Staci R Eisenberg, MD
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Internal Medicine
Credential: MD
Enumeration Date: Oct 26, 2005
Last Updated: Feb 7, 2019

Practice Location

Address: 1153 CENTRE ST
City: Jamaica Plain
State: Massachusetts
ZIP Code: 02130-3446
Phone: (617) 983-7025

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Pediatrics	208000000X
Internal Medicine	207R00000X	Primary

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