Basic Information
| Provider Information | |||||||||
| NPI: | 1184987513 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | RAPPLEYE | ||||||||
| FirstName: | JEFFREY | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 41 MALL RD | ||||||||
| Address2: | |||||||||
| City: | BURLINGTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 018050001 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7817445700 | ||||||||
| FaxNumber: | 7817445358 | ||||||||
| Practice Location | |||||||||
| Address1: | 2336 SANTA MONICA BLVD STE 206 | ||||||||
| Address2: | |||||||||
| City: | SANTA MONICA | ||||||||
| State: | CA | ||||||||
| PostalCode: | 904042938 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3103151000 | ||||||||
| FaxNumber: | 3108284426 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 06/20/2012 | ||||||||
| LastUpdateDate: | 05/09/2019 | ||||||||
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| ProviderGenderCode: | M | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 390200000X | 252373 | MA | N | Student, Health Care | Student in an Organized Health Care Education/Training Program | 2085R0202X | A156857 | CA | Y | Allopathic & Osteopathic Physicians | Radiology | Diagnostic Radiology |
No ID Information.