Basic Information
Provider Information
NPI: 1043377435
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: EINBINDER
FirstName: JONATHAN
MiddleName: SETH
NamePrefix:  
NameSuffix:  
Credential: MD MPH
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
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OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: BOX 81905
Address2: 93 WORCESTER ST PARTNERS HEALTHCARE SYSTEM
City: WELLESLEY
State: MA
PostalCode: 02481
CountryCode: US
TelephoneNumber: 7814168517
FaxNumber:  
Practice Location
Address1: 850 BOYLSTON STREET
Address2: SUITE 530 BRIGHAM AND WOMENS HOSPITAL PHYSICIAN GROUP
City: CHESTNUT HILL
State: MA
PostalCode: 02467
CountryCode: US
TelephoneNumber: 6177329900
FaxNumber:  
Other Information
ProviderEnumerationDate: 01/03/2007
LastUpdateDate: 06/29/2012
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: M
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
207R00000X79983MAY Allopathic & Osteopathic PhysiciansInternal Medicine 

No ID Information.


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