Individual
DR. KEITH WILLIAM RAE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
D.M.D., M.D.
Contact information
Practice address
39 CROSS ST, SUITE 109, PEABODY, MA 01960-1670
(978) 741-9004
Mailing address
39 CROSS ST, SUITE 109, PEABODY, MA 01960-1670
(978) 741-9004
Taxonomy
Speciality
Code
Description
License number
State
208200000X
Plastic Surgery Physician
Primary
74679
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
3081150
—
MA
Enumeration date
01/06/2006
Last updated
03/06/2015
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