Healthcare Provider Details

I. General information

NPI: 1265864243
Provider Name (Legal Business Name): REBEKAH TOZER AU.D.
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/01/2013
Last Update Date: 08/01/2013
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

333 LONGWOOD AVE 3RD FLOOR
BOSTON MA
02115-5711
US

IV. Provider business mailing address

300 LONGWOOD AVE # LO-367
BOSTON MA
02115-5724
US

V. Phone/Fax

Practice location:
  • Phone: 617-919-7587
  • Fax: 617-730-0320
Mailing address:
  • Phone: 617-919-7587
  • Fax: 617-730-0320

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code231H00000X
TaxonomyAudiologist
License Number1016
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: