Staci R Eisenberg in Jamaica Plain - Pediatrics
Staci R Eisenberg - NPI 1033109301
Staci R Eisenberg is a Pediatrics in Jamaica Plain, Massachusetts. Staci R Eisenberg practices all healthcare services and medical treatments related to Pediatrics. The NPI Number for Staci R Eisenberg is 1033109301. The last update date is 2019-02-07.
Staci R Eisenberg's current location address is 1153 Centre St, Jamaica Plain, Massachusetts. You can contact this provider via phone number 6179837025. The mailing address for Staci R Eisenberg is 1153 Centre St, Jamaica Plain, Massachusetts. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Staci R Eisenberg |
|---|---|
| Address | 1153 Centre St, Jamaica Plain, Massachusetts |
| Phone Number | 6179837025 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | MD |
NPI Number Detail
| NPI Number | 1033109301 |
|---|---|
| Provider Enumeration Date | 2005-10-26 |
| Last Updated Date | 2019-02-07 |
Provider Mailing Address Detail
| Address | 1153 Centre St |
|---|---|
| City | Jamaica Plain |
| State | Massachusetts (MA) |
| Post Code | 21303446 |
| Phone Number | 6179837025 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Pediatrics |
|---|---|
| Taxonomy | 208000000X |
| Licence No | MD15098 |
|
Definition: A pediatrician is concerned with the physical, emotional and social health of children from birth to young adulthood. Care encompasses a broad spectrum of health services ranging from preventive healthcare to the diagnosis and treatment of acute and |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| MD15098 | RI | LICENSE |
Post Comment/ Review Below
What is the unique identifier code issued to Staci R Eisenberg by the Centers for Medicare & Medicaid Services?
The Staci R Eisenberg has been assigned the NPI (National Provider Identifier) 1033109301. This 10-digit code serves as a unique identification number for healthcare providers issued by the Centers for Medicare & Medicaid Services (CMS).
Could you please provide the complete street address where Staci R Eisenberg is physically located?
The Staci R Eisenberg is physically situated at the following address: 1153 Centre St, Jamaica Plain, MA, 21303446.
What is the area of specialization for Staci R Eisenberg, and what is the corresponding taxonomy classification code for this field?
The specialized field of practice for Staci R Eisenberg is Pediatrics, and the corresponding taxonomy code that categorizes this area of expertise is 208000000X.
On what date did the Centers for Medicare & Medicaid Services issue the 1033109301 to Staci R Eisenberg?
The Staci R Eisenberg received its 1033109301 assignment from the Centers for Medicare & Medicaid Services on 2005-10-26.
As of what date was the information pertaining to Staci R Eisenberg, such as address, specialty, and other details, last reviewed and confirmed to be accurate?
The information related to Staci R Eisenberg, including its address, specialty, and other relevant details, was last reviewed and confirmed to be accurate on 2019-02-07.
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