Provider Demographics
NPI:1154488492
Name:AISENBERG, ROBERT M (MD)
Entity Type:Individual
Prefix:DR
First Name:ROBERT
Middle Name:M
Last Name:AISENBERG
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:200 MILL RD
Mailing Address - Street 2:SUITE 180
Mailing Address - City:FAIRHAVEN
Mailing Address - State:MA
Mailing Address - Zip Code:02719-5252
Mailing Address - Country:US
Mailing Address - Phone:508-973-2000
Mailing Address - Fax:508-973-2001
Practice Address - Street 1:1030 PRESIDENT AVE
Practice Address - Street 2:SUITE 210
Practice Address - City:FALL RIVER
Practice Address - State:MA
Practice Address - Zip Code:02720-5923
Practice Address - Country:US
Practice Address - Phone:508-973-1780
Practice Address - Fax:508-973-0359
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2020-04-20
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA59474207RP1001X, 207RS0012X
RIMD07361207RP1001X, 207RS0012X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RP1001XAllopathic & Osteopathic PhysiciansInternal MedicinePulmonary Disease
No207RS0012XAllopathic & Osteopathic PhysiciansInternal MedicineSleep Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
RIRA04764Medicaid
MA110045669AMedicaid
RIRA04764Medicaid
MAS400114770Medicare PIN
RI007056479Medicare ID - Type Unspecified
GA110046944OtherRAILROAD MEDICARE
MA059474OtherTUFTS
MAB77009Medicare UPIN
RIRA04764Medicaid
MAEX1917Medicare PIN
RI30330OtherNEIGHBORHOOD HEALTH PLAN
MAJ07344Medicare ID - Type Unspecified
MA0021181OtherNEIGHBORHOOD HEALTH PLANS
MA3034402Medicaid