Individual
MRS. RACHEL WHITE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
RPA-C
Contact information
Practice address
250 OLD HOOK RD, PAIN MANAGEMENT CLINIC, WESTWOOD, NJ 07675-3123
(201) 358-3000
Mailing address
114 PARK AVE, PASSAIC, NJ 07055-5439
(973) 614-1916
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
25MP00100500
NJ
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
25MP00100500
NJ LISCENCE
NJ
Enumeration date
05/07/2007
Last updated
07/08/2007
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