npidata.org Sign in
Products
Provider RadarWatch an area and specialty — weekly alerts on new cliniciansPractice RadarWeekly alerts when new organisations register nearbySpecialtiesEvery NUCC taxonomy, with counts by state and cityStatesProvider counts and breakdowns for all 50 statesPhysician listsMDs and DOs with addresses and phone numbersNP listsNurse practitioners, the fastest-growing groupAPIJSON, delta feed, free tier
Use cases
Healthcare sales prospectingPhysician recruiting and locum staffingMedical device sales territory planningCredentialing and provider verificationHealthcare marketing lists and audience buildingPharmaceutical sales and prescriber targeting
Account
Start freeThree radars and an export a month Sign in Pricing
Explore
Data Labs API
About
About usTermsPrivacyContact us

Search › Massachusetts › 103TC0700X

Ethan Eisdorfer, PSYD

NPI 1083864946 · on the registry since 2008

Practice

Address
55 Lake Ave N
Worcester, MA 01655
Phone
(508) 334-2731
Fax
(774) 442-4672
Organisation at this address
Ummhc
Umass Memorial
Umass Memorial
Tele-Physicians Pc
Umass Memorial Group
Inferred from a shared address, not stated in the registry.
Clinicians at this address
3,027

Registry record

Primary taxonomy
103TC0700X
103TC0700X
Licence states on file
MA
From the registry's licence fields, which are often incomplete.
Sex
Male
Record last updated
2025-03-05

Source: CMS National Plan and Provider Enumeration System. Registration is not the same as practising, and the registry records no retirement — some people listed here no longer practise. More in Massachusetts