Provider Demographics
NPI:1376590166
Name:RIZZUTO, ANA MARIA (MD)
Entity Type:Individual
Prefix:
First Name:ANA MARIA
Middle Name:
Last Name:RIZZUTO
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:10 ROGERS ST
Mailing Address - Street 2:# 321
Mailing Address - City:CAMBRIDGE
Mailing Address - State:MA
Mailing Address - Zip Code:02142-1246
Mailing Address - Country:US
Mailing Address - Phone:617-577-1667
Mailing Address - Fax:
Practice Address - Street 1:10 ROGERS ST
Practice Address - Street 2:# 321
Practice Address - City:CAMBRIDGE
Practice Address - State:MA
Practice Address - Zip Code:02142-1246
Practice Address - Country:US
Practice Address - Phone:617-577-1667
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA318202084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry