Individual
DR. HEIDI JOHANNA RAYALA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.,PH.D.
Contact information
Practice address
330 BROOKLINE AVE, BOSTON, MA 02215-5400
(617) 667-3739
Mailing address
330 BROOKLINE AVE, BOSTON, MA 02215-5491
(617) 667-3739
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
243549
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
110086257A
—
MA
Enumeration date
01/01/2007
Last updated
01/31/2023
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