Individual
SCOTT M RABOY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DPM
Contact information
Practice address
1081 PAULISON AVE, CLIFTON, NJ 07011-3627
(973) 340-1400
(973) 340-7470
Mailing address
1081 PAULISON AVE, CLIFTON, NJ 07011-3627
(973) 340-1400
(973) 340-7470
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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