Individual
DR. JACOB JEFFREY RAUCHWERGER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
36 LINCOLN AVE FL 1, ROCKVILLE CENTRE, NY 11570-5768
(516) 417-8500
(516) 208-8828
Mailing address
36 LINCOLN AVE FL 1, ROCKVILLE CENTRE, NY 11570-5768
(516) 417-8500
(516) 208-8828
Taxonomy
Speciality
Code
Description
License number
State
207L00000X
Anesthesiology Physician
046111
CT
208VP0000X
Pain Medicine Physician
Primary
229997
NY
208VP0014X
Interventional Pain Medicine Physician
046111
CT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
02945586
—
NY
05
—
1295875672
—
CT
Enumeration date
02/07/2007
Last updated
03/14/2023
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