Dr. Mark P Eisenberg, MD
Internal Medicine in Fruit St, Massachusetts
1487628418- Practice location
- 15 Fruit St, Mgh, Fruit St, MA 02114-3026
- Phone
- 617-724-8135
- Fax
- 617-724-8010
- Last updated
- September 23, 2022
Mark Philip Eisenberg is an Internal Medicine based in Fruit St, MA. Mark Philip Eisenberg practices in Fruit St, MA and has the professional credentials of MD. The NPI Number for Mark Philip Eisenberg is 1487628418 and holds a License No. 54761 (MA). The current practice location address for Mark Philip Eisenberg is 15 Fruit St, Mgh, Fruit St, MA 02114-3026 and can be reached out via phone at 617-724-8135 and via fax at 617-724-8010.
Provider Profile Details
- NPI Number
- 1487628418
- Provider Name
- Mark Philip Eisenberg
- Credential
- MD
- Provider Entity Type
- Individual
- Gender
- Male
- Address
- 15 Fruit St, Mgh, Fruit St, MA 02114-3026
- Phone Number
- 617-724-8135
- Fax Number
- 617-724-8010
- Primary Taxonomy
- Internal Medicine · 207R00000X
- Sole Proprietor
- No
- Provider Enumeration Date
- February 15, 2006
- Last Update Date
- September 23, 2022
- Certification Date
- September 23, 2022
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 15 Fruit St
Mgh
Fruit St, MA 02114-3026 - City
- Fruit St
- State
- Massachusetts
- Zip
- 02114-3026
- Phone Number
- 617-724-8135
- Fax Number
- 617-724-8010
Provider Business Mailing Address Details
- Address
- Po Box 9142
Mass General Physician Organization
Charlestown, MA 02129-9142 - City
- Charlestown
- State
- MA
- Zip
- 02129-9142
- Phone Number
- 617-724-8135
- Fax Number
- 617-724-8010
License Information
- License Number (1)
- 54761
- License State (1)
- MA
- Taxonomy (1)
- Internal Medicine, Addiction Medicine · 207RA0401X
- License Number (2)
- 54761
- License State (2)
- MA
- Taxonomy (2)
- Internal Medicine, Infectious Disease · 207RI0200X
- License Number (3)
- 54761
- License State (3)
- MA
- Taxonomy (3)
- Internal Medicine · 207R00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
Other Internal Medicine providers near Fruit St, MA
View all Internal Medicine providers in Fruit St →Frequently Asked Questions
What is the NPI number of Dr. Mark P Eisenberg, MD?
The NPI number of Dr. Mark P Eisenberg, MD is 1487628418. It was assigned on February 15, 2006 and is currently active in the NPPES registry.
What is the specialty of Dr. Mark P Eisenberg, MD?
Dr. Mark P Eisenberg, MD is registered under the primary taxonomy Internal Medicine (code 207R00000X), licensed in MA under license number 54761.
Where does Dr. Mark P Eisenberg, MD practice?
The practice location is 15 Fruit St, Mgh, Fruit St, MA 02114-3026. The office can be reached at 617-724-8135 (phone) or 617-724-8010 (fax).
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 1487628418 directly on the NPPES registry website.