| Racinmd LLC | |
|
1180 Beacon St Suite 7d Brookline MA 02446-3885 | |
| (617) 993-6100 | |
| (617) 993-6106 |
| Full Name | Racinmd LLC |
|---|---|
| Speciality | Psychiatry & Neurology - Child & Adolescent Psychiatry |
| Location | 1180 Beacon St, Brookline, Massachusetts |
| Authorized Official Name and Position | Revital Racin (PSYCHIATRIST) |
| Authorized Official Contact | 6179936100 |
| Accepts Medicare Insurance | This clinic does not participate in Medicare Program. |
| Mailing Address | Practice Location Address |
|---|---|
| Racinmd LLC 1180 Beacon St Suite 7d Brookline MA 02446-3885 Ph: (617) 993-6100 | Racinmd LLC 1180 Beacon St Suite 7d Brookline MA 02446-3885 Ph: (617) 993-6100 |
| NPI Number | 1154725141 |
|---|---|
| Provider Enumeration Date | 10/20/2014 |
| Last Update Date | 10/20/2014 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1154725141 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0804X | Psychiatry & Neurology - Child & Adolescent Psychiatry | 258205 (Massachusetts) | Primary |
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