MEDICARE: RACHAEL S HURWITZ PA

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
1	363AM0700X	Medical Physician Assistant	PA5473	MA
2	363A00000X	Physician Assistant	0110007806	VA

General Provider Information

NPI Number	:	1790169811
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHAEL S HURWITZ PA

Provider Business Mailing Address
First Line	:	PO BOX 37174
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21297-3174
Country	:	US
Telephone Number	:	571-423-5699
Fax Number	:	571-423-5698

Provider Business Practice Location Address
First Line	:	8101 HINSON FARM RD STE 415
Second Line	:
City	:	ALEXANDRIA
State	:	VA
Zip	:	22306-3410
Country	:	US
Telephone Number	:	703-780-0994
Fax Number	:	703-780-0929

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/18/2015
Last Update Date	:	10/18/2021

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Directions to “ RACHAEL S HURWITZ PA” Practice Location

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