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Individual

DR. REBECCA ANNE ACHTERHOF

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD

Contact information

Practice address
2600 GLASGOW AVE, SUITE 213, NEWARK, DE 19702-4773
(302) 836-4440
(302) 836-4466
Mailing address
2600 GLASGOW AVE, SUITE 213, NEWARK, DE 19702-4773
(302) 836-4440
(302) 836-4466

Taxonomy

Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
25MA07884200
NJ
208000000X
Pediatrics Physician
Primary
C10008222
DE
208D00000X
General Practice Physician
C10008222
DE

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
0080853
NJ
05
0314048
MD
05
102058942
PA
Enumeration date
05/30/2006
Last updated
11/22/2011
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