| Concord River Medical Associates Pc | |
|
630 Boston Rd Suite 104 Billerica MA 01821-3783 | |
| (781) 572-9134 | |
| Not Available |
| Full Name | Concord River Medical Associates Pc |
|---|---|
| Speciality | Internal Medicine |
| Location | 630 Boston Rd, Billerica, Massachusetts |
| Authorized Official Name and Position | Shazneen Keyamanesh Eisner (PRESIDENT) |
| Authorized Official Contact | 7815729134 |
| 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: (781) 572-9134 | Concord River Medical Associates Pc 630 Boston Rd Suite 104 Billerica MA 01821-3783 Ph: (781) 572-9134 |
| NPI Number | 1114093978 |
|---|---|
| Provider Enumeration Date | 11/25/2006 |
| Last Update Date | 08/22/2020 |
| 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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