Healthcare Provider Details

I. General information

NPI: 1215088455
Provider Name (Legal Business Name): MS. ABIGAIL RUDIN POSNER
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/15/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

330 BROOKLINE AVE
BOSTON MA
02215-5400
US

IV. Provider business mailing address

95 ORCHARD ST
JAMAICA PLAIN MA
02130-2710
US

V. Phone/Fax

Practice location:
  • Phone: 617-667-2949
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LW0102X
TaxonomyWomen's Health Nurse Practitioner
License Number258420
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: