Provider Demographics
NPI:1184668691
Name:RABINOWITZ, BURTON D (MD)
Entity Type:Individual
Prefix:
First Name:BURTON
Middle Name:D
Last Name:RABINOWITZ
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:35 UNITED DR STE 102
Mailing Address - Street 2:
Mailing Address - City:WEST BRIDGEWATER
Mailing Address - State:MA
Mailing Address - Zip Code:02379-1056
Mailing Address - Country:US
Mailing Address - Phone:508-238-8646
Mailing Address - Fax:508-230-9772
Practice Address - Street 1:300 MOUNT AUBURN ST STE 511
Practice Address - Street 2:
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02138-5665
Practice Address - Country:US
Practice Address - Phone:617-876-5656
Practice Address - Fax:617-876-5050
Is Sole Proprietor?:Yes
Enumeration Date:2006-06-15
Last Update Date:2023-02-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA35882207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA64263OtherHARVARD PILGRIM HEALTH
MAC04658OtherBLUE CROSS & BLUE SHIELD
MA711788OtherTUFTS HEALTH
MA64263OtherHARVARD PILGRIM HEALTH
MAC04658OtherBLUE CROSS & BLUE SHIELD
MA2016745Medicaid