MEDICARE: RACHEL B.C. PSOINOS M.D., PH.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
1	207V00000X	Obstetrics & Gynecology Physician	042.0014338	VT
2	207V00000X	Obstetrics & Gynecology Physician	264365	MA

General Provider Information

NPI Number	:	1821485780
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL B.C. PSOINOS M.D., PH.D.

Provider Business Mailing Address
First Line	:	111 COLCHESTER AVE
Second Line	:
City	:	BURLINGTON
State	:	VT
Zip	:	05401-1473
Country	:	US
Telephone Number	:	802-847-2700
Fax Number	:

Provider Business Practice Location Address
First Line	:	133 BROOKLINE AVE
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02215-3904
Country	:	US
Telephone Number	:	617-421-1191
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/17/2015
Last Update Date	:	06/03/2026

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