MEDICARE: RACHEL IUDICIANI PA-C

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	363A00000X	Physician Assistant	7252	CT

General Provider Information

NPI Number	:	1093698078
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	RACHEL IUDICIANI PA-C

Provider Business Mailing Address
First Line	:	124 SZOST DR
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-4059
Country	:	US
Telephone Number	:	401-954-9231
Fax Number	:

Provider Business Practice Location Address
First Line	:	124 SZOST DR
Second Line	:
City	:	FAIRFIELD
State	:	CT
Zip	:	06824-4059
Country	:	US
Telephone Number	:	401-954-9231
Fax Number	:

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

Provider Enumeration Date	:	07/28/2025
Last Update Date	:	12/11/2025

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