Organization
COMMUNITY NEUROSCIENCE SERVICES, LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
JORDAN EISENSTOCK M.D. (PRESIDENT - OWNER)
(508) 898-0055
Entity
Organization
Contact information
Practice address
33 LYMAN ST STE 400, WESTBOROUGH, MA 01581-1434
(508) 898-0055
Mailing address
14 MONUMENT SQ STE 401, LEOMINSTER, MA 01453-5766
(978) 728-4455
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
—
—
2084N0400X
Neurology Physician
231108
MA
2084N0400X
Neurology Physician
Primary
—
—
2084N0600X
Clinical Neurophysiology Physician
—
—
2084P0800X
Psychiatry Physician
—
—
Other
Enumeration date
05/01/2015
Last updated
05/20/2021
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