| Concord River Medical Associates Pc | |
|
505 Middlesex Tpke Unit 3 Billerica MA 01821-3578 | |
| (978) 663-3410 | |
| Not Available |
| Full Name | Concord River Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 505 Middlesex Tpke Unit 3, Billerica, Massachusetts |
| Authorized Official Name and Position | Shazneen Keyamanesh Eisner (PRESIDENT) |
| Authorized Official Contact | 9786633410 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Concord River Medical Associates Pc Po Box 709 Burlington MA 01803-5709 Ph: (978) 663-3410 | Concord River Medical Associates Pc 505 Middlesex Tpke Unit 3 Billerica MA 01821-3578 Ph: (978) 663-3410 |
| NPI Number | 1114093978 |
|---|---|
| Provider Enumeration Date | 11/25/2006 |
| Last Update Date | 10/18/2024 |
| Medicare PECOS PAC ID | 8527069335 |
|---|---|
| Medicare Enrollment ID | O20070122000584 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1114093978 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 207R00000X | Internal Medicine | 151116 (Massachusetts) | Primary |
| Provider Name | Shazneen K Eisner |
|---|---|
| Provider Type | Practitioner - Internal Medicine |
| Provider Identifiers | NPI Number: 1306911573 PECOS PAC ID: 4082615984 Enrollment ID: I20070119000225 |
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