Individual
TRACEY RAUTENBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PA-C
Contact information
Practice address
300 BIRNIE AVE, STE 201, SPRINGFIELD, MA 01107-1107
(413) 785-4666
(413) 846-4756
Mailing address
300 BIRNIE AVE, STE 201, SPRINGFIELD, MA 01107-1107
(413) 785-4666
(413) 846-4756
Taxonomy
Speciality
Code
Description
License number
State
363A00000X
Physician Assistant
Primary
AP2156
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
LICENSE
LICENSE
MA
Enumeration date
08/15/2006
Last updated
04/15/2010
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