MEDICARE: PAUL B RIZZOLI M.D., FAAN

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	2084N0400X	Neurology Physician	47901	MA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1124062195
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	PAUL B RIZZOLI M.D., FAAN

Provider Business Mailing Address
First Line	:	111 CYPRESS ST
Second Line	:
City	:	BROOKLINE
State	:	MA
Zip	:	02445-6002
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	1153 CENTRE ST
Second Line	:	#4970
City	:	BOSTON
State	:	MA
Zip	:	02130-3446
Country	:	US
Telephone Number	:	617-983-7580
Fax Number	:	617-983-7582

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	06/16/2006
Last Update Date	:	01/12/2026

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