Provider Demographics
NPI:1588654198
Name:RABITO, CARLOS ALBERTO (MD PHD)
Entity Type:Individual
Prefix:DR
First Name:CARLOS
Middle Name:ALBERTO
Last Name:RABITO
Suffix:
Gender:M
Credentials:MD PHD
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Mailing Address - Street 1:PO BOX 9142
Mailing Address - Street 2:MASS GENERAL PHYSICIAN ORGANIZATION
Mailing Address - City:CHARLESTOWN
Mailing Address - State:MA
Mailing Address - Zip Code:02129-9142
Mailing Address - Country:US
Mailing Address - Phone:617-726-8350
Mailing Address - Fax:617-726-6165
Practice Address - Street 1:55 FRUIT STREET WHT 2
Practice Address - Street 2:RADIOLOGICAL ASSOCIATES
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2696
Practice Address - Country:US
Practice Address - Phone:617-726-8350
Practice Address - Fax:617-726-6165
Is Sole Proprietor?:No
Enumeration Date:2005-10-25
Last Update Date:2012-08-09
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Provider Licenses
StateLicense IDTaxonomies
MA48401207U00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207U00000XAllopathic & Osteopathic PhysiciansNuclear Medicine
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ04564OtherBCBS MA
MA725100OtherTUFTS
MA6195113Medicaid
MAJ04564Medicare ID - Type Unspecified
MAJ04564OtherBCBS MA