Individual
REBECCA RACHEL PLUTCHOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
108 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3148
(732) 576-2273
Mailing address
108 HILLSIDE BLVD, LAKEWOOD, NJ 08701-3148
(732) 576-2273
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP0043000
NJ
363A00000X
Physician Assistant
25MP00430000
NJ
Other
Enumeration date
02/08/2018
Last updated
07/04/2023
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