Individual
DR. MARK EISENBERG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PH.D.
Contact information
Practice address
251 CAUSEWAY ST, ROOM 229, BOSTON, MA 02114-2148
(617) 248-1007
Mailing address
95 CHASE RUN, STOUGHTON, MA 02072-3558
(781) 436-3404
Taxonomy
Speciality
Code
Description
License number
State
103T00000X
Psychologist
Primary
2148
MA
Other
Enumeration date
08/20/2006
Last updated
07/08/2007
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