Individual
MR. ORI AVRAHAM RACKOVSKY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
468 PARISH DR STE 6, WAYNE, NJ 07470-4671
(973) 988-2100
(973) 952-6248
Mailing address
1130 MCBRIDE AVENUE, 3RD FLOOR, WOODLAND PARK, NJ 07424
(973) 812-1400
(973) 812-1404
Taxonomy
Speciality
Code
Description
License number
State
207RG0100X
Gastroenterology Physician
Primary
25MA10376500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0633488
—
NJ
Enumeration date
03/19/2012
Last updated
08/09/2023
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