Individual
RAVEN BATSHON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MD
Contact information
Practice address
454 BROADWAY, REVERE, MA 02151-3034
(781) 485-8222
Mailing address
454 BROADWAY, REVERE, MA 02151-3034
(781) 485-8222
Taxonomy
Speciality
Code
Description
License number
State
207Q00000X
Family Medicine Physician
Primary
1014172
MA
Other
Enumeration date
06/17/2020
Last updated
10/13/2023
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