Individual
DR. MARK E. RAYNER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
333 N. OXFORD VLY RD, SUITE 503, FAIRLESS, PA 19030
(215) 547-1386
(215) 943-1304
Mailing address
333 N. OXFORD VLY RD, SUITE 503, FAIRLESS HILLS, PA 19030
(215) 547-1386
(215) 943-1304
Taxonomy
Speciality
Code
Description
License number
State
208600000X
Surgery Physician
Primary
MD021530E
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0009533620004
—
PA
01
—
0052144000
KEYSTONE HPE
PA
01
—
2084727
AETNA
PA
Enumeration date
01/17/2007
Last updated
07/21/2022
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