Individual
ILAN ROZEN EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
670 ALBANY STREET, ROOM 637, BOSTON, MA 02118
(617) 414-5591
Mailing address
670 ALBANY STREET, ROOM 637, BOSTON, MA 02118
(617) 414-5591
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/23/2022
Last updated
12/13/2022
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