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NPI Code Detail

MEDICARE: RACHEL SOLOTAROFF MD

MEDICARE: RACHEL SOLOTAROFF MD
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1207R00000XInternal Medicine PhysicianMD25713ME

General Provider Information

NPI Number : 1568576122
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL SOLOTAROFF MD
Provider Business Mailing Address
First Line : PO BOX 1599
Second Line :
City : BANGOR
State : ME
Zip : 04402-1599
Country : US
Telephone Number : 207-404-8200
Fax Number : 207-947-0435
Provider Business Practice Location Address
First Line : 1012 UNION ST
Second Line :
City : BANGOR
State : ME
Zip : 04401-3060
Country : US
Telephone Number : 207-404-8100
Fax Number : 207-947-0435
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/19/2006
Last Update Date : 05/26/2022

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