Individual
RACHEL EISENBROCK CHASE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DO
Contact information
Practice address
1 COOPER PLZ, CAMDEN, NJ 08103-1461
(856) 342-2000
Mailing address
1 FEDERAL ST, CAMDEN, NJ 08103-1088
(856) 356-4924
(856) 356-4793
Taxonomy
Speciality
Code
Description
License number
State
207P00000X
Emergency Medicine Physician
Primary
25MB10209900
NJ
207P00000X
Emergency Medicine Physician
OS014833
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2113960
PA BLUE SHIELD
PA
Enumeration date
06/30/2009
Last updated
01/15/2018
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