Provider Demographics
NPI:1487828489
Name:VOGEL, RACHEL B (MD)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:B
Last Name:VOGEL
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
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Mailing Address - Street 1:337 SOMERVILLE AVE
Mailing Address - Street 2:
Mailing Address - City:SOMERVILLE
Mailing Address - State:MA
Mailing Address - Zip Code:02143-2914
Mailing Address - Country:US
Mailing Address - Phone:617-665-3370
Mailing Address - Fax:617-625-1288
Practice Address - Street 1:337 SOMERVILLE AVE
Practice Address - Street 2:
Practice Address - City:SOMERVILLE
Practice Address - State:MA
Practice Address - Zip Code:02143-2914
Practice Address - Country:US
Practice Address - Phone:617-665-3370
Practice Address - Fax:617-625-1288
Is Sole Proprietor?:No
Enumeration Date:2008-04-22
Last Update Date:2013-01-11
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA237914207Q00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207Q00000XAllopathic & Osteopathic PhysiciansFamily Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA001735301Medicare PIN