| Anthony R. Raynes, M.d., Pc | |
|
15 Carlton St Brookline MA 02446-5601 | |
| (617) 390-1204 | |
| (617) 390-1584 |
| Full Name | Anthony R. Raynes, M.d., Pc |
|---|---|
| Speciality | Psychiatry & Neurology |
| Location | 15 Carlton St, Brookline, Massachusetts |
| Authorized Official Name and Position | Anthony Edward Raynes (PSYCHIATRIST) |
| Authorized Official Contact | 6173901204 |
| Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
| Mailing Address | Practice Location Address |
|---|---|
| Anthony R. Raynes, M.d., Pc 15 Carlton St Brookline MA 02446-5601 Ph: (617) 390-1204 | Anthony R. Raynes, M.d., Pc 15 Carlton St Brookline MA 02446-5601 Ph: (617) 390-1204 |
| NPI Number | 1104019249 |
|---|---|
| Provider Enumeration Date | 08/22/2007 |
| Last Update Date | 08/22/2007 |
| Medicare PECOS PAC ID | 0648458224 |
|---|---|
| Medicare Enrollment ID | O20110630000087 |
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1104019249 | NPI | - | NPPES |
| Taxonomy | Type | License (State) | Status |
|---|---|---|---|
| 2084P0800X | Psychiatry & Neurology - Psychiatry | 37037 (Massachusetts) | Primary |
| Provider Name | Anthony E Raynes |
|---|---|
| Provider Type | Practitioner - Psychiatry |
| Provider Identifiers | NPI Number: 1871507145 PECOS PAC ID: 0042262172 Enrollment ID: I20050216000646 |
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