Individual
JENNIFER L RAQUET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
417 MORRIS RD, LANSDALE, PA 19446-5606
(681) 258-0070
Mailing address
417 MORRIS RD, LANSDALE, PA 19446-5606
(681) 258-0070
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00179500
NJ
363AS0400X
Surgical Physician Assistant
25MP00179500
NJ
Other
Enumeration date
06/15/2006
Last updated
05/01/2026
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