Provider Demographics
NPI:1922081702
Name:OREN, EYAL (MD)
Entity Type:Individual
Prefix:DR
First Name:EYAL
Middle Name:
Last Name:OREN
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 1:114R HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-2723
Mailing Address - Country:US
Mailing Address - Phone:978-745-3711
Mailing Address - Fax:978-745-6208
Practice Address - Street 1:114R HIGHLAND AVE
Practice Address - Street 2:
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-2723
Practice Address - Country:US
Practice Address - Phone:978-745-3711
Practice Address - Fax:978-745-6208
Is Sole Proprietor?:No
Enumeration Date:2005-11-25
Last Update Date:2021-12-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA223612207R00000X, 207K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207K00000XAllopathic & Osteopathic PhysiciansAllergy & Immunology
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ42768OtherBLUE CROSS/BLUE SHIELD
MA0044376OtherNEIGHBORHOOD HEALTH
MA2150361Medicaid
MA497154OtherTUFTS
MA48173OtherBOSTON MEDICAL CENTER
MA95449301OtherNETWORK HEALTH
MAAA115098OtherHARVARD PILGRIM
MA000534701Medicare PIN