Provider Demographics
NPI:1093884603
Name:CONSOLI, RACHAEL JM (MD)
Entity Type:Individual
Prefix:DR
First Name:RACHAEL
Middle Name:JM
Last Name:CONSOLI
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Gender:F
Credentials:MD
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Mailing Address - Street 1:47 CONGRESS ST
Mailing Address - Street 2:NORTH SHORE COMMUNITY HEALTH CENTER
Mailing Address - City:SALEM
Mailing Address - State:MA
Mailing Address - Zip Code:01970-7308
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:47 CONGRESS ST
Practice Address - Street 2:NORTH SHORE COMMUNITY HEALTH CENTER
Practice Address - City:SALEM
Practice Address - State:MA
Practice Address - Zip Code:01970-7308
Practice Address - Country:US
Practice Address - Phone:978-744-8388
Practice Address - Fax:978-744-0398
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-07
Last Update Date:2012-11-15
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Provider Licenses
StateLicense IDTaxonomies
MA250045207V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207V00000XAllopathic & Osteopathic PhysiciansObstetrics & Gynecology
Provider Identifiers
StateIdentifier IDID TypeIssuer
H51344Medicare UPIN