Provider Demographics
NPI:1174664965
Name:RAPALINO, OTTO (MD)
Entity type:Individual
Prefix:DR
First Name:OTTO
Middle Name:
Last Name:RAPALINO
Suffix:
Gender:M
Credentials:MD
Other - Prefix:DR
Other - First Name:OTTO
Other - Middle Name:ALEJANDRO
Other - Last Name:RAPALINO FAUR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MD
Mailing Address - Street 1:229 EAST ST
Mailing Address - Street 2:
Mailing Address - City:SHARON
Mailing Address - State:MA
Mailing Address - Zip Code:02067-2254
Mailing Address - Country:US
Mailing Address - Phone:781-806-5468
Mailing Address - Fax:866-213-2386
Practice Address - Street 1:55 FRUIT ST
Practice Address - Street 2:GRB 273
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02114-2621
Practice Address - Country:US
Practice Address - Phone:617-726-8320
Practice Address - Fax:866-213-2386
Is Sole Proprietor?:No
Enumeration Date:2007-02-12
Last Update Date:2023-05-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY2316172085N0700X, 2085R0202X
MA2349462085R0202X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2085R0202XAllopathic & Osteopathic PhysiciansRadiologyDiagnostic Radiology
No2085N0700XAllopathic & Osteopathic PhysiciansRadiologyNeuroradiology