Provider Demographics
NPI:1073568176
Name:POTASHNIK, RASHEL (MD)
Entity Type:Individual
Prefix:DR
First Name:RASHEL
Middle Name:
Last Name:POTASHNIK
Suffix:
Gender:F
Credentials:MD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1945 MORRIS AVE
Mailing Address - Street 2:
Mailing Address - City:UNION
Mailing Address - State:NJ
Mailing Address - Zip Code:07083-3518
Mailing Address - Country:US
Mailing Address - Phone:908-624-1050
Mailing Address - Fax:908-624-1052
Practice Address - Street 1:1945 MORRIS AVE
Practice Address - Street 2:
Practice Address - City:UNION
Practice Address - State:NJ
Practice Address - Zip Code:07083-3526
Practice Address - Country:US
Practice Address - Phone:908-624-1050
Practice Address - Fax:908-624-1052
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-24
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ66228208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
NJ7425309Medicaid
NJ60019130OtherNJ HEALTH
NJ005379UJGMedicare ID - Type Unspecified
NJ60019130OtherNJ HEALTH