Healthcare Provider Details

I. General information

NPI: 1932220167
Provider Name (Legal Business Name): JAMIE M RAPPAPORT M.D.
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/03/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

JEWISH GENERAL HOSPITAL 3755 COTE ST CATHERINE R
MONTREAL, QB QC
H3T1E2
CA

IV. Provider business mailing address

245 NETHERWOOD CRESCENT
HAMPSTEAD QC
H3X3Y6
CA

V. Phone/Fax

Practice location:
  • Phone: 514-340-8246
  • Fax:
Mailing address:
  • Phone: 514-340-8246
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code207YX0901X
TaxonomyOtology & Neurotology Physician
License Number79452
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: