Active NPIIndividual provider

Ms. Elisabeth J Moths-Rebrovic, MD

Family Medicine in Dorchester, Massachusetts

NPI Number1558332270
Practice location
415 Columbia RD, Dorchester, MA 02125-2424
Fax
617-740-8070
Last updated
January 13, 2012

Elisabeth Joan Moths-Rebrovic is a Family Medicine based in Dorchester, MA. Elisabeth Joan Moths-Rebrovic practices in Dorchester, MA and has the professional credentials of MD. The NPI Number for Elisabeth Joan Moths-Rebrovic is 1558332270 and holds a License No. 58102 (MA). The current practice location address for Elisabeth Joan Moths-Rebrovic is 415 Columbia RD, Dorchester, MA 02125-2424 and can be reached out via phone at 617-287-8000 and via fax at 617-740-8070.

Provider Profile Details

NPI Number
1558332270
Provider Name
Elisabeth Joan Moths-Rebrovic
Credential
MD
Provider Entity Type
Individual
Gender
Female
Address
415 Columbia RD, Dorchester, MA 02125-2424
Phone Number
617-287-8000
Fax Number
617-740-8070
Primary Taxonomy
Family Medicine · 207Q00000X
Sole Proprietor
No
Provider Enumeration Date
January 30, 2006
Last Update Date
January 13, 2012
NPI Status
Active

Provider Business Practice Location Address Details

Address
415 Columbia RD
Dorchester, MA 02125-2424
Zip
02125-2424
Phone Number
617-287-8000
Fax Number
617-740-8070
Dorchester, MA 02125Get directions →

Provider Business Mailing Address Details

Address
415 Columbia RD
Dorchester, MA 02125-2424
City
Dorchester
State
MA
Zip
02125-2424
Phone Number
617-287-8000
Fax Number
617-740-8070

License Information

License Number
58102
License State
MA
Taxonomy
Family Medicine · 207Q00000X · Primary

Legacy Identifiers

IdentifierTypeStateIssuer
No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider.

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Frequently Asked Questions

What is the NPI number of Ms. Elisabeth J Moths-Rebrovic, MD?

The NPI number of Ms. Elisabeth J Moths-Rebrovic, MD is 1558332270. It was assigned on January 30, 2006 and is currently active in the NPPES registry.

What is the specialty of Ms. Elisabeth J Moths-Rebrovic, MD?

Ms. Elisabeth J Moths-Rebrovic, MD is registered under the primary taxonomy Family Medicine (code 207Q00000X), licensed in MA under license number 58102.

Where does Ms. Elisabeth J Moths-Rebrovic, MD practice?

The practice location is 415 Columbia RD, Dorchester, MA 02125-2424. The office can be reached at 617-287-8000 (phone) or 617-740-8070 (fax).

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.

How do I verify this NPI record?

This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1558332270 directly on the NPPES registry website.

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