MEDICARE: DR. JACQUES ABI RACHED 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
1	207R00000X	Internal Medicine Physician	MD449269	PA
2	207RN0300X	Nephrology Physician	25MA09676200	NJ
3	207RN0300X	Nephrology Physician	D82608	MD

General Provider Information

NPI Number	:	1790920577
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. JACQUES ABI RACHED MD

Provider Business Mailing Address
First Line	:	PO BOX 416210
Second Line	:
City	:	BOSTON
State	:	MA
Zip	:	02241-6210
Country	:	US
Telephone Number	:	610-644-8900
Fax Number	:	484-924-0053

Provider Business Practice Location Address
First Line	:	8140 CORPORATE DR STE 125
Second Line	:
City	:	BALTIMORE
State	:	MD
Zip	:	21236-6901
Country	:	US
Telephone Number	:	410-931-9729
Fax Number	:

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

Provider Enumeration Date	:	12/09/2008
Last Update Date	:	06/16/2025

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Directions to “ DR. JACQUES ABI RACHED MD” Practice Location

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