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Individual
SCOTT M RABOY
Active
Individual
SCOTT M RABOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Taxonomy
Speciality
Code
Description
License number
State
213E00000X
Podiatrist
Primary
25MD00188500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0138844
GHI
NJ
01
—
0446761000
AMERIHEALTH
NJ
01
—
480028342
PALMETTO GBA RAILROAD MED
NJ
01
—
86986
AMERIGROUP
NJ
01
—
F03338
CARECORE
—
01
—
HUL000204
AMERICHOICE
NJ
Enumeration date
08/29/2006
Last updated
01/03/2013
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