Provider Demographics
NPI:1487631412
Name:EICHLER, FLORIAN S (MD)
Entity type:Individual
Prefix:DR
First Name:FLORIAN
Middle Name:S
Last Name:EICHLER
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-6093
Mailing Address - Fax:617-726-2019
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:YAW 6B
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114
Practice Address - Country:US
Practice Address - Phone:617-726-6093
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2005-12-30
Last Update Date:2012-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2254862084N0400X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084N0400XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyNeurology
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA2106591Medicaid
MAJ27064OtherBCBS MA
MA478703OtherTUFTS HEALTH PLAN
I36261Medicare UPIN
MAJ27064OtherBCBS MA