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Organization
RACINMD LLC
Active
Organization
RACINMD LLC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
REVITAL RACIN MD (PSYCHIATRIST)
(617) 993-6100
Entity
Organization
Contact information
Practice address
1180 BEACON ST, SUITE 7D, BROOKLINE, MA 02446-3885
(617) 993-6100
(617) 993-6106
Mailing address
1180 BEACON ST, SUITE 7D, BROOKLINE, MA 02446-3885
(617) 993-6100
(617) 993-6106
Taxonomy
Speciality
Code
Description
License number
State
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
258205
MA
Other
Enumeration date
10/20/2014
Last updated
10/20/2014
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