Individual
DR. CARLOS ALBERTO RABITO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD PHD
Contact information
Practice address
55 FRUIT STREET WHT 2, RADIOLOGICAL ASSOCIATES, BOSTON, MA 02114-2696
(617) 726-8350
(617) 726-6165
Mailing address
PO BOX 9142, MASS GENERAL PHYSICIAN ORGANIZATION, CHARLESTOWN, MA 02129-9142
(617) 726-8350
(617) 726-6165
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
Primary
48401
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
6195113
—
MA
01
—
725100
TUFTS
MA
01
—
J04564
BCBS MA
MA
Enumeration date
10/25/2005
Last updated
08/09/2012
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