Eisenberg, Vladimir
Eisenberg, Vladimir is an individual health care provider with primary practice located at 690 Canton St Suite 325, Westwood MA 02090-2321. He recently has only one registered license in Allopathic & Osteopathic Physicians / Anesthesiology, which is considered as his primary health care specialty. Eisenberg, Vladimir can be contacted via phone (781) 407-7713.Contact Information
Primary practice address
690 Canton St Suite 325
Westwood MA 02090-2321
Phone: (781) 407-7713
Fax: (781) 407-0998
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Anesthesiology | 207L00000X | 212951 | Massachusetts |
Profile Details
| NPI number | 1255330239 |
|---|---|
| LBN Legal business name | Eisenberg, Vladimir |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jul 20th, 2005 |
| Last updated | Oct 16th, 2007 - about 17 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1255330239 | NPPES |
| Massachusetts | MEDICAID | 0172839 |
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