Individual provider · Type 1 NPI

Ilan Rozen Eisenberg, MD

Student in an Organized Health Care Education/Training Program · Boston, MA

NPI number 1194474437 Active

Practice location

670 Albany Street, Room 637
Boston, MA 02118

Call (617) 414-5591 Map

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1194474437

Ilan Rozen Eisenberg, MD's National Provider Identifier is 1194474437, issued on Mar 23, 2022. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Boston, MA. The record was last updated on Dec 13, 2022.