Provider Demographics
NPI:1518971001
Name:RUPNICK, MARIA ANN (MD, PHD)
Entity Type:Individual
Prefix:
First Name:MARIA
Middle Name:ANN
Last Name:RUPNICK
Suffix:
Gender:F
Credentials:MD, PHD
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Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:111 CYPRESS STREET
Mailing Address - Street 2:BRIGHAM AND WOMANS PHYSICIAN'S ORGANIZATION
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02445
Mailing Address - Country:US
Mailing Address - Phone:781-321-7895
Mailing Address - Fax:617-730-0002
Practice Address - Street 1:75 FRANCIS ST
Practice Address - Street 2:BWH CARDIOVASCULAR DIVISION
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:00115
Practice Address - Country:US
Practice Address - Phone:617-732-6660
Practice Address - Fax:617-730-0002
Is Sole Proprietor?:No
Enumeration Date:2006-07-28
Last Update Date:2016-06-09
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
ME79901207RC0000X
MA79901207R00000X, 207RC0000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207RC0000XAllopathic & Osteopathic PhysiciansInternal MedicineCardiovascular Disease
No207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine