Provider Demographics
NPI:1770823411
Name:RASTOGI, NEERAJ V (MD)
Entity Type:Individual
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First Name:NEERAJ
Middle Name:V
Last Name:RASTOGI
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Gender:M
Credentials:MD
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Mailing Address - Street 1:1180 BEACON ST
Mailing Address - Street 2:SUITE 3C
Mailing Address - City:BROOKLINE
Mailing Address - State:MA
Mailing Address - Zip Code:02446-3885
Mailing Address - Country:US
Mailing Address - Phone:617-202-9222
Mailing Address - Fax:617-879-0933
Practice Address - Street 1:1180 BEACON ST
Practice Address - Street 2:SUITE 3C
Practice Address - City:BROOKLINE
Practice Address - State:MA
Practice Address - Zip Code:02446-3885
Practice Address - Country:US
Practice Address - Phone:617-202-9222
Practice Address - Fax:617-879-0933
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-16
Last Update Date:2014-02-03
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Provider Licenses
StateLicense IDTaxonomies
MA2420122085R0204X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0204XAllopathic & Osteopathic PhysiciansRadiologyVascular & Interventional Radiology