Individual
REBECCA L EISENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
27 INDUSTRIAL AVE STE 101, SANFORD, ME 04073-5846
(207) 294-5800
Mailing address
27 INDUSTRIAL AVE STE 101, SANFORD, ME 04073-5846
(207) 459-1666
Taxonomy
Speciality
Code
Description
License number
State
207RH0003X
Hematology & Oncology Physician
231351
MA
207RX0202X
Medical Oncology Physician
17501
NH
207RX0202X
Medical Oncology Physician
Primary
MD23794
ME
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
496421
TUFTS
MA
01
—
7941952
AETNA
MA
01
—
8613966
CIGNA
MA
01
—
AA96705
HARVARD PILGRIM
MA
01
—
J42096
BLUE CROSS LEGACY #
MA
Enumeration date
04/06/2007
Last updated
04/26/2021
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