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Individual

RACHEL A IVKER

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
M.D.

Contact information

Practice address
3455 MAIN ST, STE 5, SPRINGFIELD, MA 01107-1147
(413) 733-9600
(413) 732-6534
Mailing address
3455 MAIN ST, STE 5, SPRINGFIELD, MA 01107-1147
(413) 733-9600
(413) 732-6534

Taxonomy

Speciality
Code
Description
License number
State
207N00000X
Dermatology Physician
Primary
205848
MA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0304370
UNITED HEALTH CARE
01
070015197
RAILROAD MEDICARE
01
205848
TUFTS HEALTH PLANS
MA
01
2058482202
CONNECTICARE
CT
01
26366
HEALTH NEW ENGLAND
MA
01
IVJ22328
BLUE CROSS BLUE SHIELD
MA
Enumeration date
06/28/2005
Last updated
04/24/2008
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