Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 208000000X | Pediatrician | 160125 | MA |
Y | 2080N0001X | Neonatal-Perinatal Doctor | 160125 | MA |
N | 2080P0214X | Pediatric Pulmonologist | 160125 | MA |
NPI | 1144239427 |
---|---|
Provider Name | Dr. Lawrence M Rhein |
First Address | Boston, MA 02241-5348 |
Second Address | Worcester, MA 01605-2903 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 05/08/2006 |
Last Update Date | 03/11/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110061276A | (05) | MA |
S400306619 | MEDICARE (01) | MA |