Individual
DR. KEVIN ANDREW RASKIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, YAW 3 ORTHOPAEDIC ASSOCIATES, BOSTON, MA 02114-2696
(617) 724-3700
(617) 726-6823
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 724-0287
(617) 726-2894
Taxonomy
Speciality
Code
Description
License number
State
207X00000X
Orthopaedic Surgery Physician
Primary
214176
MA
207X00000X
Orthopaedic Surgery Physician
22903
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
2007690
—
MA
01
—
214176
TUFTS HEALTH PLAN
MA
01
—
J26075
BCBS MA
MA
Enumeration date
02/24/2006
Last updated
07/10/2013
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