Individual
DR. STEFAN THOMAS RAU
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
M.D.
Contact information
Practice address
10 HEALTHY WAY, ELLENVILLE REGIONAL HOSPITAL- RADIOLOGY DEPT, ELLENVILLE, NY 12428
(845) 647-6400
Mailing address
10 HEALTHY WAY, ELLENVILLE REGIONAL HOSPITAL- RADIOLOGY DEPT, ELLENVILLE, NY 12428-5612
(267) 257-9213
Taxonomy
Speciality
Code
Description
License number
State
2085R0202X
Diagnostic Radiology Physician
Primary
257634
NY
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
03249929
—
NY
Enumeration date
01/16/2009
Last updated
09/27/2018
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