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NPI Code Detail

MEDICARE: DR. RAHEL SAMUEL BOSSON M.D

MEDICARE: DR. RAHEL SAMUEL BOSSON M.D
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine Physician47477KY
2390200000XStudent in an Organized Health Care Education/Training Program
32084P0800XPsychiatry Physician273709MA

General Provider Information

NPI Number : 1083905970
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. RAHEL SAMUEL BOSSON M.D
Provider Business Mailing Address
First Line : 115 MILL ST
Second Line :
City : BELMONT
State : MA
Zip : 02478-1064
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 115 MILL ST
Second Line :
City : BELMONT
State : MA
Zip : 02478-1048
Country : US
Telephone Number : 806-441-0337
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/26/2011
Last Update Date : 04/19/2021

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