Individual
DR. ERIC MICHAEL ISSELBACHER
Active
Sole proprietor
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 5 CARDIAC UNIT ASSOCIATES, BOSTON, MA 02114-2696
(617) 724-1994
(617) 724-0289
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207RC0000X
Cardiovascular Disease Physician
Primary
75008
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3139476
—
MA
01
—
738161
TUFTS HEALTH PLAN
MA
01
—
J31239
BCBS MA
MA
Enumeration date
02/17/2006
Last updated
07/08/2007
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