Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RE0101X | Endocrinologist (Diabetes Doctor) | 13807 | NH |
NPI | 1043304249 |
---|---|
Provider Name | Neil Douglas Ravin |
First Address | Haverhill, MA 01830-6778 |
Second Address | Haverhill, MA 01830-6778 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 03/10/2006 |
Last Update Date | 01/05/2014 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
30207923 | (05) | NH |
3082885 | (05) | NH |
432885799 | (05) | ME |
B94739 | (02) | MD |