Individual
DR. RICHARD STUART EISNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.P.M.
Contact information
Practice address
55 HIGHLAND AVE, SUITE #103, SALEM, MA 01970-2185
(978) 744-5991
(978) 745-6780
Mailing address
55 HIGHLAND AVE, SUITE #103, SALEM, MA 01970-2185
(978) 744-5991
(978) 745-6780
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
1666
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0345121
—
MA
01
—
33741
HPHC
MA
01
—
480002365
RAILROAD MEDICARE
MA
01
—
731873
TUFTS
MA
01
—
S010492
TRICARE
MA
01
—
Y70-716
BLUE SHIELD NUMBER
MA
Enumeration date
08/07/2006
Last updated
06/05/2024
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