Provider Demographics
NPI:1467423541
Name:RAYNHAM, HELEN A (MD)
Entity Type:Individual
Prefix:DR
First Name:HELEN
Middle Name:A
Last Name:RAYNHAM
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:526 MAIN ST STE 302
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-3301
Mailing Address - Country:US
Mailing Address - Phone:978-371-7010
Mailing Address - Fax:978-371-0522
Practice Address - Street 1:154 E CENTRAL ST FL 3
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-3644
Practice Address - Country:US
Practice Address - Phone:781-431-0060
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-01-27
Last Update Date:2024-04-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153438207N00000X, 207ND0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207ND0101XAllopathic & Osteopathic PhysiciansDermatologyMOHS-Micrographic Surgery
No207N00000XAllopathic & Osteopathic PhysiciansDermatology
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY167481OtherPREFERRED CARE NY
MAJ18452OtherBC/BS
MA772784OtherTUFTS HEALTH CARE
MA9981329OtherCIGNA HEALTHCARE
MA0017817OtherNHP-MA
MA3536905OtherAETNA US HEALTH
MAAA15682OtherHARVARD PILGRIM HEALTH CA
MA3536905OtherAETNA US HEALTH
MAAA15682OtherHARVARD PILGRIM HEALTH CA