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Individual
DR. RICHARD STUART EISNER
Active
Individual
DR. RICHARD STUART EISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1666
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345121
—
MA
01
—
33741
HPHC
MA
01
—
480002365
RAILROAD MEDICARE
MA
01
—
731873
TUFTS
MA
01
—
S010492
TRICARE
MA
01
—
Y70-716
BLUE SHIELD NUMBER
MA
Enumeration date
08/07/2006
Last updated
06/05/2024
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