Individual
HATICHA ATAHANOVNA EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
FNP
Contact information
Practice address
6 JFK ST, CAMBRIDGE, MA 02138-4909
(617) 939-3948
Mailing address
3 GREEN LN, FRAMINGHAM, MA 01701-3689
(617) 939-3948
Taxonomy
Speciality
Code
Description
License number
State
363L00000X
Nurse Practitioner
Primary
RN2301766
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
00000000000
OTHER
MA
Enumeration date
07/09/2020
Last updated
08/14/2023
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