Provider Demographics
NPI:1578134698
Name:NIR, ESHEL ARYEH (MD, MSC, DESA)
Entity Type:Individual
Prefix:DR
First Name:ESHEL
Middle Name:ARYEH
Last Name:NIR
Suffix:
Gender:M
Credentials:MD, MSC, DESA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:61 TCHERNICHOVSKI STREET
Mailing Address - Street 2:APT. #08
Mailing Address - City:JERUSALEM
Mailing Address - State:JERUSALEM
Mailing Address - Zip Code:9258739
Mailing Address - Country:IL
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:300 LONGWOOD AVE # 366.1
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-5888
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2021-07-09
Last Update Date:2021-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA288115207LP3000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207LP3000XAllopathic & Osteopathic PhysiciansAnesthesiologyPediatric Anesthesiology