Healthcare Provider Details

I. General information

NPI: 1407921018
Provider Name (Legal Business Name): PHILLIP L RICE M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 11/21/2006
Last Update Date: 03/26/2025
Certification Date: 03/26/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

BRIGHAM AND WOMEN'S HOSPITAL 75 FRANCIS STREET
BOSTON MA
02115
US

IV. Provider business mailing address

12 RUSSELL RD
NEEDHAM MA
02492-1448
US

V. Phone/Fax

Practice location:
  • Phone: 617-732-8192
  • Fax: 617-264-6848
Mailing address:
  • Phone: 781-444-4456
  • Fax: 617-264-6848

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License NumberMD20193
License Number StateRI
# 2
Primary TaxonomyY
Taxonomy Code207P00000X
TaxonomyEmergency Medicine Physician
License Number161304
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: