Individual
GEORGE J RACHO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
MD
Contact information
Practice address
154 N CHURCH ST, HAZLETON, PA 18201-5823
(570) 454-7188
Mailing address
PO BOX 486, HAZLETON, PA 18201-0486
Taxonomy
Speciality
Code
Description
License number
State
207Y00000X
Otolaryngology Physician
Primary
MD028253L
PA
Other
Enumeration date
03/21/2012
Last updated
03/21/2012
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