Individual
DAVID MICHAEL RAEZER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1999 SPROUL RD, SUITES 12 AND 16, BROOMALL, PA 19008-3522
(610) 534-6100
(610) 534-6104
Mailing address
1999 SPROUL RD, SUITES 12 AND 16, BROOMALL, PA 19008-3522
(610) 534-6100
(610) 534-6104
Taxonomy
Speciality
Code
Description
License number
State
208800000X
Urology Physician
Primary
MD030565L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0007379020002
—
PA
05
—
0007380240001
—
PA
01
—
0031117000
PERSONAL CHOICE ID
PA
01
—
0073802406
AMERICHOICE ID #
PA
01
—
025027
BLAIR MILL ADMINISTRATORS
PA
01
—
1202110002
CIGNA
PA
01
—
12459
ELDER HEALTH ID#
PA
01
—
146871
BLUE SHIELD PROVIDER #
PA
01
—
2327902
NJ MEDICAID PROVIDER #
NJ
01
—
36158333
MULTIPLAN ID#
PA
01
—
4088087
AETNA PROVIDER #
PA
01
—
CL6874
RAILROAD MEDICARE GROUP #
PA
01
—
DES178
OXFORD HEALTH PLAN ID #
PA
01
—
P00252734
RAILROAD MEDICARE ID
PA
01
—
P0034748
TRICARE PROVIDER ID #
PA
Enumeration date
09/20/2006
Last updated
05/07/2020
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