MEDICARE: STEVEN MARK RAIKIN M.D.

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	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	25MA07108800	NJ
2	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	ME152909	FL
3	207XX0004X	Orthopaedic Foot and Ankle Surgery Physician	MD070216L	PA

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	2378279	OTHER	NJ	AETNA
2	0559350000	OTHER	PA	IBC
3	0803514000	OTHER	NJ	IBC
4	2784525	OTHER		CIGNA
5	2265820	OTHER	PA	AETNA

General Provider Information

NPI Number	:	1265487623
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	STEVEN MARK RAIKIN M.D.

Provider Business Mailing Address
First Line	:	833 CHESTNUT ST STE 520
Second Line	:
City	:	PHILADELPHIA
State	:	PA
Zip	:	19107-4430
Country	:	US
Telephone Number	:	800-321-9999
Fax Number	:	267-339-3763

Provider Business Practice Location Address
First Line	:	3300 TILLMAN DR FL 2
Second Line	:
City	:	BENSALEM
State	:	PA
Zip	:	19020-2071
Country	:	US
Telephone Number	:	267-339-3558
Fax Number	:	267-339-3763

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

Provider Enumeration Date	:	05/24/2006
Last Update Date	:	02/25/2022

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Directions to “ STEVEN MARK RAIKIN M.D.” Practice Location

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