Staci R Eisenberg MD

NPI 1033109301 - Internal Medicine - 207R00000X

NPI Details
NPI 1033109301
Gender Female
Enumeration Date 10/26/2005
Last Updated 12/14/2015
Entity Type Individual
Active Over 11 years ago
Practice Location
245 CHAPMAN ST
SUITE 100
PROVIDENCE RI, 02905-4539, US
Phone (401) 444-6118
Fax (401) 444-8804
Business Location
593 EDDY ST
HASBRO 122
PROVIDENCE RI, 02903-4923, US
Phone (401) 444-6118
Fax (617) 414-3679
Toxanomy
Taxonomy Code 207R00000X
License State Massachusetts
License Number 220587
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According to our database, Dr. Staci R Eisenberg MD NPI is 1033109301, taxonomy code is 207R00000X and license number is 220587, license state is located at Massachusetts. Staci R Eisenberg MD physically located at 245 Chapman St, Providence RI, 02905-4539. NPI Number Staci R Eisenberg MD has the Individual type.

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1033109301 NPI number is provided on an as is basis without warranty of any kind. 1033109301 is maintained by the National Plan & Provider Enumeration System. The contents of Staci R Eisenberg MD are for informational purposes only.