Provider Demographics
NPI:1437341443
Name:MOSKOWITZ, RACHEL M (PA)
Entity Type:Individual
Prefix:
First Name:RACHEL
Middle Name:M
Last Name:MOSKOWITZ
Suffix:
Gender:F
Credentials:PA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:465 CRANBURY RD
Mailing Address - Street 2:SUITE 101
Mailing Address - City:EAST BRUNSWICK
Mailing Address - State:NJ
Mailing Address - Zip Code:08816-7600
Mailing Address - Country:US
Mailing Address - Phone:732-390-0044
Mailing Address - Fax:732-651-7593
Practice Address - Street 1:465 CRANBURY RD
Practice Address - Street 2:SUITE 101
Practice Address - City:EAST BRUNSWICK
Practice Address - State:NJ
Practice Address - Zip Code:08816-7600
Practice Address - Country:US
Practice Address - Phone:732-390-0044
Practice Address - Fax:732-651-7593
Is Sole Proprietor?:No
Enumeration Date:2007-08-14
Last Update Date:2007-08-14
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NJ25MP00136200363A00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes363A00000XPhysician Assistants & Advanced Practice Nursing ProvidersPhysician Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
Q64610Medicare UPIN