Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207R00000X | Internist | 247726 | MA |
Y | 111NI0900X | Internist | 247726 | MA |
N | 207RA0401X | Internist - Addiction Medicine | 247726 | MA |
NPI | 1831353945 |
---|---|
Provider Name | Dr. Rachel Beth King |
First Address | Boston, MA 02118-1951 |
Second Address | Boston, MA 02118-1951 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 17/07/2008 |
Last Update Date | 27/04/2018 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
110089637A | (05) | MA |