Basic Information
Provider Information
NPI: 1053809194
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EICHINGER
FirstName: CLARE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: MD
OtherOrganizationName:  
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OtherLastName:  
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Mailing Information
Address1: 330 BROOKLINE AVE
Address2: DEPARTMENT OF ANESTHESIA YAMINS 2
City: BOSTON
State: MA
PostalCode: 02215
CountryCode: US
TelephoneNumber:  
FaxNumber:  
Practice Location
Address1: 330 BROOKLINE AVE
Address2: DEPARTMENT OF ANESTHESIA YAMINS 2
City: BOSTON
State: MA
PostalCode: 02215
CountryCode: US
TelephoneNumber: 6176677000
FaxNumber:  
Other Information
ProviderEnumerationDate: 04/24/2018
LastUpdateDate: 03/20/2022
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 03/20/2022

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207L00000X291612MAY Allopathic & Osteopathic PhysiciansAnesthesiology 

No ID Information.


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