Individual
DR. IVANIA RIZO
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
732 HARRISON AVENUE, PRESTON, 2ND FLOOR, BOSTON, MA 02118
(617) 638-7470
(617) 638-7449
Mailing address
720 HARRISON AVE.,, DOB 503, BOSTON, MA 02118
Taxonomy
Speciality
Code
Description
License number
State
207RE0101X
Endocrinology, Diabetes & Metabolism Physician
Primary
268577
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110119425A
—
MA
01
—
P00908556
RAILROAD MEDICARE ID-RSFPN
SC
Enumeration date
02/25/2009
Last updated
01/19/2017
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