Individual
EITAN NEIDICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
800 WASHINGTON ST, BOSTON, MA 02111-1552
(617) 636-1619
Mailing address
554 48TH AVE, SAN FRANCISCO, CA 94121-2427
(415) 606-1841
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
267223
MA
Other
Enumeration date
05/31/2016
Last updated
05/31/2016
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