Individual
STEPHANIE RICO EIZEMBER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
75 FRANCIS ST, BOSTON, MA 02115-6110
(617) 732-5500
Mailing address
55 FRUIT STREET, BLAKE 1500, BOSTON, MA 02114
(617) 724-7168
Taxonomy
Speciality
Code
Description
License number
State
207R00000X
Internal Medicine Physician
277157
MA
208M00000X
Hospitalist Physician
Primary
277157
MA
Other
Enumeration date
06/08/2016
Last updated
03/26/2019
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