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Individual

DANIEL ADAM RAUCH

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
MD

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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