Individual
JOHN D RAUTH JR.
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
1 COOPER PLZ, COOPER UNIVERISTY RADIOLOGY, CAMDEN, NJ 08103-1461
(856) 342-2382
Mailing address
3 COOPER PLZ, SUITE 502, CAMDEN, NJ 08103-1438
(856) 968-7433
Taxonomy
Speciality
Code
Description
License number
State
207U00000X
Nuclear Medicine Physician
MA0795530
NJ
2085R0202X
Diagnostic Radiology Physician
Primary
MA0795530
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
01007819700
AMERICHOICE
NJ
05
—
0125393
—
NJ
01
—
1455582/3330327
AETNA
NJ
01
—
1552470
UNITED HEALTHCARE
NJ
01
—
2813899000
AMERIHEALTH/KEYSTONE/IBC
NJ
01
—
60030289
HORIZON NJ HEALTH
NJ
01
—
8600556
CIGNA
NJ
Enumeration date
11/16/2006
Last updated
05/07/2008
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