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Richard Brostoff, MD
Prescribing (Medical) Psychologist in Lexington, Massachusetts
NPI 1396875951

Richard Brostoff is a Prescribing (Medical) Psychologist based in Lexington, MA and is specialized in Prescribing (Medical). Richard Brostoff practices in Lexington, MA and has the professional credentials of MD. The NPI Number for Richard Brostoff is 1396875951 and holds a License No. (Massachusetts).

The current practice location address for Richard Brostoff is 10 Muzzey St, Lexington, MA and can be reached out via phone at 781-674-2069. You can also correspond with Richard Brostoff through the mailing address at 10 MUZZEY ST, LEXINGTON, MA - 02421-5222 (mailing address contact number: 781-674-2069).

Location: 10 Muzzey St, Lexington, MA, 02421-5222
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1396875951
Provider Name
Richard Brostoff
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
10 Muzzey St, Lexington, MA, 02421-5222
Phone Number
781-674-2069
Fax Number
Provider Enumeration Date
03/06/2007
Last Update Date
03/09/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
721057 01 MA TUFTS HEALTH PLAN
J04143 01 MA BCBS MA
institution
Provider Business Practice Location Address Details
Address
10 Muzzey St
City
Lexington
State
Massachusetts
Zip
02421-5222
Phone Number
781-674-2069
Fax Number
person
Provider Business Mailing Address Details
Address
10 Muzzey St
City
Lexington
State
Massachusetts
Zip
02421-5222
Phone Number
781-674-2069
Fax Number
person
Provider's Taxonomy Details 1
Type
Behavioral Health & Social Service Providers
Classification
Psychologist
Speciality
Prescribing (Medical)
Taxonomy
103TP0016X
License No.
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Definition
A licensed, doctoral-level psychologist authorized to prescribe and has undergone specialized education and training in preparation for prescriptive practice and has passed an examination accepted by the state board of psychology relevant to establishing competence for prescribing, and has received from the state board of psychology a current certificate granting prescriptive authority, which has not been revoked or suspended.
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