Individual
HEATHER M VAN RAALTE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.D.
Contact information
Practice address
10 FORRESTAL RD S, SUITE 205, PRINCETON, NJ 08540-6666
(609) 924-2230
(609) 924-5006
Mailing address
10 FORRESTAL RD S, SUITE 205, PRINCETON, NJ 08540-6666
(609) 924-2230
(609) 924-5006
Taxonomy
Speciality
Code
Description
License number
State
207V00000X
Obstetrics & Gynecology Physician
MD426505
PA
207VG0400X
Gynecology Physician
Primary
25MA08415500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
03233300
CAPITAL BLUE CROSS
PA
01
—
1084443
AETNA
PA
01
—
1360068
HIGHMARK BLUE SHIELD
PA
01
—
2052999000
INDEPENDENCE BLUE CROSS
PA
01
—
P00372672
RAILROAD MEDICARE
—
Enumeration date
06/23/2006
Last updated
08/04/2016
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