Individual
RONALD LEE EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
330 BROOKLINE AVE, ECC4 BIDMC-DEPT. OF RADIOLOGY, BOSTON, MA 02215
(617) 667-0662
(617) 667-0665
Mailing address
330 BROOKLINE AVE, EICC4 BIDMC-DEPT. OF RADIOLOGY, BOSTON, MA 02215
(617) 667-0662
(617) 667-0665
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
G24216
CA
2085R0202X
Diagnostic Radiology Physician
Primary
233806
MA
Other
Enumeration date
06/23/2006
Last updated
03/18/2009
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