Healthcare Provider Details

I. General information

NPI: 1962142364
Provider Name (Legal Business Name): JOSHUA RALSTON M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/01/2022
Last Update Date: 01/09/2026
Certification Date: 01/09/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

199 REEDSDALE RD
MILTON MA
02186-3900
US

IV. Provider business mailing address

199 REEDSDALE RD
MILTON MA
02186-3900
US

V. Phone/Fax

Practice location:
  • Phone: 617-696-4600
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License Number1023578
License Number StateMA
# 2
Primary TaxonomyN
Taxonomy Code208M00000X
TaxonomyHospitalist Physician
License NumberDR.0072042
License Number StateCO
# 3
Primary TaxonomyN
Taxonomy Code207R00000X
TaxonomyInternal Medicine Physician
License NumberDR.0072042
License Number StateCO

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: