NPI 1245609064

Mohammed Eisa

Practitioner Intellectual and/or Developmental Disabilities Residential Treatment Facility Boston, MA

Practice location

Address: 759 Bennington St 1, Boston, MA 02128-1133
Phone: (804) 873-6581

Registered specialties

Intellectual and/or Developmental Disabilities Residential Treatment Facility Primary

Residential Treatment Facilities Taxonomy 320600000X

Other Residential Treatment Facility, Intellectual and/or Developmental Disabilities providers in Massachusetts →

Registry record

NPI: 1245609064
Entity type: Individual
Sex (as registered): Male
NPI issued: 22 Sep 2015
Record last updated: 22 Sep 2015

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.