Basic Information
| Provider Information | |||||||||
| NPI: | 1508944794 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | BENTLEY-LEWIS | ||||||||
| FirstName: | RHONDA | ||||||||
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| Credential: | M.D. | ||||||||
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| Mailing Information | |||||||||
| Address1: | 31 FULLER RD | ||||||||
| Address2: | |||||||||
| City: | NEEDHAM | ||||||||
| State: | MA | ||||||||
| PostalCode: | 024924531 | ||||||||
| CountryCode: | US | ||||||||
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| Practice Location | |||||||||
| Address1: | 50 STANIFORD ST STE 340 | ||||||||
| Address2: | MASSACHUSETTS GENERAL HOSPITAL, DIABETES CENTER | ||||||||
| City: | BOSTON | ||||||||
| State: | MA | ||||||||
| PostalCode: | 021142542 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 6177268722 | ||||||||
| FaxNumber: | 6177248534 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 11/02/2006 | ||||||||
| LastUpdateDate: | 07/13/2011 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 207RE0101X | 214729 | MA | Y | Allopathic & Osteopathic Physicians | Internal Medicine | Endocrinology, Diabetes & Metabolism |
ID Information
| ID | Type | State | Issuer | Description | AA63524 | 01 | MA | HARVARD PILGRIMHEALTHCARE | OTHER | 479103 | 01 | MA | TUFTS HEALTHPLAN | OTHER | J40180 | 01 | MA | BLUECROSSBLUESHIELD OF MA | OTHER | 0038530 | 01 | MA | NHP | OTHER |