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Individual

THOMAS JOHN RAUCHUT

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
CRNP

Contact information

Practice address
3601 A ST, PHILADELPHIA, PA 19134-1043
(215) 427-5000
Mailing address
102 ARDEN LN, COATESVILLE, PA 19320-5619
(215) 260-5817

Taxonomy

Speciality
Code
Description
License number
State
363LN0005X
Critical Care Neonatal Nurse Practitioner
Primary
R193522
MD

Other

Enumeration date
12/14/2010
Last updated
02/11/2013
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