Provider Demographics
NPI:1144339631
Name:O'BRIEN, REBECCA F (MD)
Entity type:Individual
Prefix:DR
First Name:REBECCA
Middle Name:F
Last Name:O'BRIEN
Suffix:
Gender:F
Credentials:MD
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Mailing Address - Street 1:300 LONGWOOD AVE
Mailing Address - Street 2:CHILDREN'S HOSPITAL BOSTON-ADOLESCENT MEDICINE
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02115-5724
Mailing Address - Country:US
Mailing Address - Phone:617-355-7181
Mailing Address - Fax:617-730-0185
Practice Address - Street 1:300 LONGWOOD AVE
Practice Address - Street 2:CHILDREN'S HOSPITAL BOSTON-ADOLESCENT MEDICINE
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02115-5724
Practice Address - Country:US
Practice Address - Phone:617-355-7181
Practice Address - Fax:617-730-0185
Is Sole Proprietor?:No
Enumeration Date:2006-08-29
Last Update Date:2007-07-08
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Provider Licenses
StateLicense IDTaxonomies
MA53833208000000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208000000XAllopathic & Osteopathic PhysiciansPediatrics
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA3066321Medicaid
MAJ10001Medicare ID - Type Unspecified
MA3066321Medicaid