Individual provider · Type 1 NPI

Gavin Rackoff

Student in an Organized Health Care Education/Training Program · Cambridge, MA

NPI number 1184570459 Active

Practice location

1493 Cambridge St
Cambridge, MA 02139-1099

Call (617) 665-1000 Map

Mailing address

11 Vinal St Apt 2
Brighton, MA 02135-7684

Specialties and licenses

TaxonomyCodeLicense
Student in an Organized Health Care Education/Training Program Primary 390200000XNone listed

Student in an Organized Health Care Education/Training Program: An individual who is enrolled in an organized health care education/training program leading to a degree, certification, registration, and/or licensure to provide health care.

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About NPI 1184570459

Gavin Rackoff's National Provider Identifier is 1184570459, issued on Mar 9, 2026. The primary taxonomy on file is Student in an Organized Health Care Education/Training Program (390200000X), and the practice location is in Cambridge, MA. The record was last updated on Mar 9, 2026.