Individual provider · Type 1 NPI
Richard Prudencio, MD
Rehabilitation Hospital · Cambridge, MA
NPI number
1598837452
Active
Practice location
1575 Cambridge St
Cambridge, MA 02138-4308
Fax (617) 234-7950
Mailing address
289 Highland Ave, 108
Somerville, MA 02144-3209
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Rehabilitation Hospital Primary | 283X00000X | 223241 (MA) |
Rehabilitation Hospital: A hospital or facility that provides health-related, social and/or vocational services to disabled persons to help them attain their maximum functional capacity.
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About NPI 1598837452
Richard Prudencio, MD's National Provider Identifier is 1598837452, issued on Nov 15, 2006. The primary taxonomy on file is Rehabilitation Hospital (283X00000X), and the practice location is in Cambridge, MA. The record was last updated on Nov 30, 2021.