Provider Demographics
NPI:1578510277
Name:RAPPAPORT, NAOMI (MD)
Entity Type:Individual
Prefix:
First Name:NAOMI
Middle Name:
Last Name:RAPPAPORT
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 1:874 PURCHASE ST
Mailing Address - Street 2:
Mailing Address - City:NEW BEDFORD
Mailing Address - State:MA
Mailing Address - Zip Code:02740-6232
Mailing Address - Country:US
Mailing Address - Phone:508-992-6553
Mailing Address - Fax:508-990-7558
Practice Address - Street 1:874 PURCHASE ST
Practice Address - Street 2:
Practice Address - City:NEW BEDFORD
Practice Address - State:MA
Practice Address - Zip Code:02740-6232
Practice Address - Country:US
Practice Address - Phone:508-992-6553
Practice Address - Fax:508-990-7558
Is Sole Proprietor?:No
Enumeration Date:2006-05-28
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA153562207R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA0016208OtherNEIGHBORHOOD HEALTH PLAN
MA3174433Medicaid
MAB10218104OtherCIGNA
MA000000024035OtherBMC HEALTHNET
MA23362-0OtherBCBSRI
MA8224337-004OtherCIGNA PAL
MA918320OtherAETNA
MA34357OtherCHILDRENS MEDICAL SECURIT
MA401057OtherBCBSRI BLUE CHIP
MA690003OtherHARVARD PILGRIM
MA004534OtherSENIOR WHOLE HEALTH
MA0406614OtherUNITED HEALTH PLAN
MA153562OtherTUFTS HEALTH PLAN
MAJ17784OtherBCBSMA
MA96427601OtherNETWORKHEALTH
MA000000024035OtherBMC HEALTHNET
MA34357OtherCHILDRENS MEDICAL SECURIT