Individual
MICHAEL EIZYK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
800 WASHINGTON ST # 189, BOSTON, MA 02111-1552
(617) 636-7957
Mailing address
800 WASHINGTON ST # 189, BOSTON, MA 02111-1552
(617) 636-7957
Taxonomy
Speciality
Code
Description
License number
State
207QH0002X
Hospice and Palliative Medicine (Family Medicine) Physician
Primary
1023922
MA
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
05/08/2019
Last updated
05/29/2025
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