Individual
RICHARD FRANKLIN EISEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
725 ALBANY ST # 8B, BOSTON, MA 02118-3549
(617) 638-7420
(617) 638-7289
Mailing address
801 ALBANY ST FL G, BOSTON, MA 02119-3791
Taxonomy
Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
48498
MA
207ND0101X
MOHS-Micrographic Surgery Physician
48498
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03-00291
UNITED HEALTHCARE
MA
01
—
37336
UNICARE
MA
01
—
4032
HARVARD PILGRIM
MA
01
—
4274478
AETNA
MA
01
—
509211
FALLON HEALTHCARE
MA
01
—
712907
TUFTS HEALTH PLAN
MA
01
—
B202877
CIGNA HEALTHCARE
MA
01
—
E05971
BLUE CROSS/BLUE SHIELD
MA
Enumeration date
06/17/2005
Last updated
09/29/2021
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