Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
DR. MARK PHILIP EISENBERG, MD
ActiveDR. MARK PHILIP EISENBERG, MD is a Internal Medicine healthcare provider located in FRUIT ST, Massachusetts. NPI 1487628418 is currently active in the NPPES registry. Verify at CMS.
Internal Medicine · FRUIT ST, MA
Registration Details
- NPI Number
- 1487628418
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Feb 15, 2006 (20.537491727657 yrs)
- Last Updated
- Sep 23, 2022
- Licenses
-
54761 (MA)54761 (MA)54761 (MA)
Practice Information
- Address
-
15 FRUIT STMGHFRUIT ST, MA, 021143026Browse MA providers · Browse ZIP 02114
- Phone
- 6177248135
- Fax
- 6177248010
- Primary Specialty
-
Internal Medicine
207R00000X
- Additional Specialty
- Infectious Disease
- Additional Specialty
- Internal Medicine
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.