Individual
DANIEL ADAM RAUCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
30 PROSPECT AVENUE, WFAN 3RD FL, HACKENSACK, NJ 07601
(551) 996-5300
Mailing address
30 PROSPECT AVENUE, WFAN 3RD FL, HACKENSACK, NJ 07601
(551) 996-5300
Taxonomy
Speciality
Code
Description
License number
State
208000000X
Pediatrics Physician
191470
NY
208000000X
Pediatrics Physician
Primary
25MA11780900
NJ
208000000X
Pediatrics Physician
270781
MA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000093426
GHI HMO
—
05
—
01847130
—
NY
01
—
10091426
CAPITAL DISTR
—
01
—
10973772
AETNA HMO
—
01
—
2695984
GHI PPO
—
01
—
388180
MVP
—
01
—
3C5202
HEALTHNET
—
01
—
4142534
CIGNA
—
01
—
503280000040
FIDELIS
—
01
—
650Z21
BCBS
—
01
—
7686456
AETNA PPO
—
01
—
U104
CAPITAL DISTR
—
Enumeration date
09/02/2005
Last updated
06/28/2023
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