Provider Demographics
NPI:1699829267
Name:RAUCH, ZELAYNA RUTH (DC)
Entity Type:Individual
Prefix:DR
First Name:ZELAYNA
Middle Name:RUTH
Last Name:RAUCH
Suffix:
Gender:F
Credentials:DC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:219 BRIDGE ST
Mailing Address - Street 2:
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-1711
Mailing Address - Country:US
Mailing Address - Phone:781-326-8100
Mailing Address - Fax:781-326-9920
Practice Address - Street 1:219 BRIDGE ST
Practice Address - Street 2:
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-1711
Practice Address - Country:US
Practice Address - Phone:781-326-8100
Practice Address - Fax:781-326-9920
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA837111N00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes111N00000XChiropractic ProvidersChiropractor