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Individual

DR. ADAM RABEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
M.D.

Contact information

Practice address
4701 OGLETOWN STANTON RD, STE 1109, NEWARK, DE 19713-2079
(302) 623-4800
(302) 623-4850
Mailing address
PO BOX 12870, WILMINGTON, DE 19850-2870
(302) 733-0374
(302) 733-0854

Taxonomy

Speciality
Code
Description
License number
State
2085R0001X
Radiation Oncology Physician
25MA06557300
NJ
2085R0001X
Radiation Oncology Physician
Primary
C10007012
DE
2085R0001X
Radiation Oncology Physician
D0062192
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
1000023544
DE
05
100826120
PA
05
402787601
MD
05
7412801
NJ
01
P00108557
RAILROAD MEDICARE
DE
Enumeration date
06/11/2006
Last updated
12/31/2012
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