Organization
KTHRYN P. RAPPERPORT, MD, PC
Active
Organization subpart
No
Provider details
NPI number
Authorized official
DR. KATHRYN PORTER RAPPERPORT MD (OWNER)
(781) 862-7487
Entity
Organization
Contact information
Practice address
8 WALLIS CT, LEXINGTON, MA 02421-5417
(781) 862-7487
Mailing address
8 WALLIS CT, LEXINGTON, MA 02421-5417
(781) 862-7487
Taxonomy
Speciality
Code
Description
License number
State
103TP0016X
Prescribing (Medical) Psychologist
Primary
78675
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110053938B
—
MA
Enumeration date
01/30/2015
Last updated
01/30/2015
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