Provider Demographics
NPI:1790737203
Name:ANDREAS RAUER MD PA
Entity Type:Organization
Organization Name:ANDREAS RAUER MD PA
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MRS
Authorized Official - First Name:ALICE
Authorized Official - Middle Name:L
Authorized Official - Last Name:RAUER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:302-734-1761
Mailing Address - Street 1:16 OLD RUDNICK LN
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19901-4912
Mailing Address - Country:US
Mailing Address - Phone:302-734-1761
Mailing Address - Fax:302-734-1720
Practice Address - Street 1:16 OLD RUDNICK LN
Practice Address - Street 2:
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19901-4912
Practice Address - Country:US
Practice Address - Phone:302-734-1761
Practice Address - Fax:302-734-1720
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-05-16
Last Update Date:2008-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes207W00000XAllopathic & Osteopathic PhysiciansOphthalmologyGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE0000069202Medicaid
DE0000069202Medicaid
0361220001Medicare NSC