Individual
ELAINE M. RANCATORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
415 SOUTH ST, WALTHAM, MA 02453-2728
(781) 736-3677
Mailing address
46 WILMOT RD, WALTHAM, MA 02453-6702
(954) 614-4414
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
268584
MA
207P00000X
Emergency Medicine Physician
OS5701
FL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
373774800
—
FL
Enumeration date
03/15/2006
Last updated
03/03/2022
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