| Provider / Organization | NPI | Date Certified |
|---|---|---|
| HAILEY RAE RICH | 1982052833 | 2024-04-07 |
Hailey Rae Rich is registered with the National Plan and Provider Enumeration System and has been issued an National Provider Identifier (NPI) of 1982052833. Registration indicates Hailey Rae Rich is a provider of services with a specialization in Student, Health Care, Student in an Organized Health Care Education/Training Program (Student in an Organized Health Care Education/Training Program, ) (All Other Specialties & Provider Types, ) (Student in an Organized Health Care Education/Training Program, Student, Health Care) (Diagnostic Radiology (Radiology),, ) (Allopathic & Osteopathic Physicians, Radiology) (Radiology: Diagnostic Radiology, ) (Diagnostics/Imaging/Laboratory/Mammography, ) (Radiology Diagnostic Radiology, Allopathic & Osteopathic Physicians) (Radiology, )
| Registration | PART-B:Y DME:Y HHA:Y PMD:Y |
| Entity Type | Individual |
| Provider Name | Hailey Rae Rich MD, MPH |
| Practice Office Address | 820 HARRISON AVE. FGH BUILDING, 4TH FLOOR BOSTON, MA US |
| Practice Office Telephone | 6174144978 |
| Mailing Address | 820 HARRISON AVE. FGH BUILDING, 4TH FLOOR BOSTON, MA 021182905 US |
| Business Telephone | 6174144978 |
| Code | Practice | License No State |
|---|---|---|
| 390200000X | Student, Health Care Student in an Organized Health Care Education/Training Program Student in an Organized Health Care Education/Training Program All Other Specialties & Provider Types Student in an Organized Health Care Education/Training Program Student, Health Care | ETLL-1085
MA |
| 2085R0202X PRIMARY | Diagnostic Radiology (Radiology), Allopathic & Osteopathic Physicians Radiology Radiology: Diagnostic Radiology Diagnostics/Imaging/Laboratory/Mammography Radiology Diagnostic Radiology Allopathic & Osteopathic Physicians Radiology | ETLL-1085
MA |