Individual
MR. EDWARD RAKLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PA-C
Contact information
Practice address
500 WESTFIELD AVE, ELIZABETH, NJ 07208-1642
(908) 994-1500
Mailing address
500 WESTFIELD AVE, ELIZABETH, NJ 07208-1642
(908) 994-1500
(908) 994-0035
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00107900
NJ
363AM0700X
Medical Physician Assistant
25MP00107900
NJ
Other
Enumeration date
06/28/2005
Last updated
12/15/2010
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