| Doctor Name: | NEIL DOUGLAS RAVIN |
| NPI Number: | 1043304249 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | MD |
| License Number: | D26704 |
| Business Practice Address: | 62 Brown St Suite 303 Haverhill, MA - 018306778 |
| Business Phone Number: | 9784785030 |
| Business Fax Number: | 9783770412 |
| Mailing Address: | 62 Brown St, Suite 303 HAVERHILL |
| State: | MA |
| Postal Code: | 018306778 |
| Phone Number: | 9784785030 |
| Fax Number: | 9783770412 |
| NPI Enumeration Date: | 10/03/2006 |
| NPI Last Update Date: | 05/01/2014 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 174400000X |
| License Number: | D26704 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | MD |
| Taxonomy Type: | Other Service Providers |
| Taxonomy Classification: | Specialist |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |