Individual
JORDAN H EISENSTOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
55 LAKE AVE N, WORCESTER, MA 01655-0002
(508) 334-2527
(774) 442-3687
Mailing address
PO BOX 415348, BOSTON, MA 02241-5348
Taxonomy
Speciality
Code
Description
License number
State
2084N0400X
Neurology Physician
Primary
231108
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2149877
—
MA
Enumeration date
01/16/2007
Last updated
11/25/2024
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