Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MOHAMMED EISA

Active Sole Proprietor

MOHAMMED EISA is a Intellectual Disabilities Residential Treatment Facility healthcare provider located in BOSTON, Massachusetts. NPI 1245609064 is currently active in the NPPES registry. Verify at CMS.

Intellectual Disabilities Residential Treatment Facility · BOSTON, MA

Registration Details

NPI Number: 1245609064
Provider Type: Individual
Gender: Male
NPI Issued: Sep 22, 2015 (10.926855758278 yrs)
Last Updated: Sep 22, 2015
Sole Proprietor: Yes

Practice Information

Address: 759 BENNINGTON ST

1

BOSTON, MA, 021281133
Browse MA providers · Browse ZIP 02128
Phone: 8048736581
Primary Specialty: Intellectual Disabilities Residential Treatment Facility
320600000X

Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.