Dr. Staci R Eisenberg, MD
Internal Medicine in Jamaica Plain, Massachusetts
1033109301- Practice location
- 1153 Centre St, Jamaica Plain, MA 02130-3446
- Phone
- 617-983-7025
- Fax
- —
- Last updated
- February 7, 2019
Staci R Eisenberg is an Internal Medicine based in Jamaica Plain, MA. Staci R Eisenberg practices in Jamaica Plain, MA and has the professional credentials of MD. The NPI Number for Staci R Eisenberg is 1033109301 and holds a License No. MD15098 (RI). The current practice location address for Staci R Eisenberg is 1153 Centre St, Jamaica Plain, MA 02130-3446 and can be reached out via phone at 617-983-7025.
Provider Profile Details
- NPI Number
- 1033109301
- Provider Name
- Staci R Eisenberg
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 1153 Centre St, Jamaica Plain, MA 02130-3446
- Phone Number
- 617-983-7025
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- October 26, 2005
- Last Update Date
- February 7, 2019
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 1153 Centre St
Jamaica Plain, MA 02130-3446 - City
- Jamaica Plain
- State
- Massachusetts
- Zip
- 02130-3446
- Phone Number
- 617-983-7025
Provider Business Mailing Address Details
- Address
- 1153 Centre St
Jamaica Plain, MA 02130-3446 - City
- Jamaica Plain
- State
- MA
- Zip
- 02130-3446
License Information
- License Number (1)
- MD15098
- License State (1)
- RI
- Taxonomy (1)
- Pediatrics · 208000000X
- License Number (2)
- 220587
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine · 207R00000X · Primary
- License Number (3)
- MD15098
- License State (3)
- RI
- Taxonomy (3)
- Internal Medicine · 207R00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Dr. Staci R Eisenberg, MD?
The NPI number of Dr. Staci R Eisenberg, MD is 1033109301. It was assigned on October 26, 2005 and is currently active in the NPPES registry.
What is the specialty of Dr. Staci R Eisenberg, MD?
Dr. Staci R Eisenberg, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in RI under license number MD15098.
Where does Dr. Staci R Eisenberg, MD practice?
The practice location is 1153 Centre St, Jamaica Plain, MA 02130-3446. The office can be reached at 617-983-7025 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1033109301 directly on the NPPES registry website.