Provider Demographics
NPI:1730142761
Name:RAPA, DENNIS H (MD)
Entity Type:Individual
Prefix:
First Name:DENNIS
Middle Name:H
Last Name:RAPA
Suffix:
Gender:M
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 UNION ST
Mailing Address - Street 2:STE 108
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760
Mailing Address - Country:US
Mailing Address - Phone:508-665-0073
Mailing Address - Fax:508-653-4075
Practice Address - Street 1:67 UNION ST
Practice Address - Street 2:STE 108
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760
Practice Address - Country:US
Practice Address - Phone:508-665-0073
Practice Address - Fax:508-653-4075
Is Sole Proprietor?:No
Enumeration Date:2006-04-10
Last Update Date:2010-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA44620207R00000X, 207RE0101X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes207R00000XAllopathic & Osteopathic PhysiciansInternal Medicine
No207RE0101XAllopathic & Osteopathic PhysiciansInternal MedicineEndocrinology, Diabetes & Metabolism
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3166821Medicaid
D82751Medicare UPIN
MA3166821Medicaid