Healthcare Provider Details

I. General information

NPI: 1285822726
Provider Name (Legal Business Name): BURTON D RABINOWITZ MD PC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/10/2007
Last Update Date: 02/23/2023
Certification Date: 02/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

300 MOUNT AUBURN ST
CAMBRIDGE MA
02138-5600
US

IV. Provider business mailing address

35 UNITED DR STE 102
WEST BRIDGEWATER MA
02379-1056
US

V. Phone/Fax

Practice location:
  • Phone: 617-876-5656
  • Fax: 617-492-0491
Mailing address:
  • Phone: 508-238-8646
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207RC0000X
TaxonomyCardiovascular Disease Physician
License Number35882
License Number StateMA

VIII. Authorized Official

Name: BURTON DOV RABINOWITZ MD
Title or Position: PRESIDENT
Credential: MD
Phone: 617-876-5656