Provider Demographics
NPI:1902827231
Name:RABE, EDWARD F (MD)
Entity Type:Individual
Prefix:
First Name:EDWARD
Middle Name:F
Last Name:RABE
Suffix:
Gender:M
Credentials:MD
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Mailing Address - Street 1:133 BROOKLINE AVE
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02215-3904
Mailing Address - Country:US
Mailing Address - Phone:617-421-1157
Mailing Address - Fax:617-421-6116
Practice Address - Street 1:133 BROOKLINE AVE
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02215-3904
Practice Address - Country:US
Practice Address - Phone:617-421-1157
Practice Address - Fax:617-421-6116
Is Sole Proprietor?:No
Enumeration Date:2006-07-22
Last Update Date:2021-03-07
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA480852084P0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2084P0800XAllopathic & Osteopathic PhysiciansPsychiatry & NeurologyPsychiatry
Provider Identifiers
StateIdentifier IDID TypeIssuer
MAJ03977OtherBLUE CROSS
MA0037365OtherNEIGHBORHOOD HEALTH PLAN
MA709865OtherTUFTS HEALTH PLAN
MAD94096Medicare UPIN
MA709865OtherTUFTS HEALTH PLAN