Individual
DR. GIUSEPPE JAMES RAVIOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-0288
Mailing address
55 FRUIT ST, BOSTON, MA 02114-2621
(617) 724-0288
Taxonomy
Speciality
Code
Description
License number
State
2084P0800X
Psychiatry Physician
220390
MA
2084P0804X
Child & Adolescent Psychiatry Physician
Primary
220390
MA
Other
Enumeration date
11/03/2005
Last updated
07/02/2019
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