Whalio Doctors

NPI 1598837452

Richard Prudencio, MD

Practitioner Rehabilitation Hospital Cambridge, MA

Practice location

Address
1575 Cambridge St, Cambridge, MA 02138-4308
Phone
(617) 876-4344
Fax
(617) 234-7950
Mailing address
289 Highland Ave 108, Somerville, MA 02144-3209

Registered specialties

Rehabilitation Hospital Primary
Hospitals Taxonomy 283X00000X Licence 223241 (MA)

Registry record

NPI
1598837452
Entity type
Individual
Sex (as registered)
Male
NPI issued
15 Nov 2006
Record last updated
30 Nov 2021

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.