Provider Demographics
NPI:1609409135
Name:RISMAN, RACHAEL FEUERSTEIN (PA-C)
Entity type:Individual
Prefix:MS
First Name:RACHAEL
Middle Name:FEUERSTEIN
Last Name:RISMAN
Suffix:
Gender:
Credentials:PA-C
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:800 WASHINGTON ST # 334
Mailing Address - Street 2:
Mailing Address - City:BOSTON
Mailing Address - State:MA
Mailing Address - Zip Code:02111-1552
Mailing Address - Country:US
Mailing Address - Phone:617-636-6424
Mailing Address - Fax:617-636-5621
Practice Address - Street 1:800 WASHINGTON ST # 334
Practice Address - Street 2:
Practice Address - City:BOSTON
Practice Address - State:MA
Practice Address - Zip Code:02111-1552
Practice Address - Country:US
Practice Address - Phone:617-636-6424
Practice Address - Fax:617-636-5621
Is Sole Proprietor?:No
Enumeration Date:2020-02-12
Last Update Date:2025-03-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MAPA7462363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant