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NPI Code Detail

MEDICARE: RACHEL DECESAR PA-C

MEDICARE: RACHEL DECESAR 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
1363AM0700XMedical Physician AssistantPA7468MA

General Provider Information

NPI Number : 1407489065
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL DECESAR PA-C
Provider Business Mailing Address
First Line : 360 US HIGHWAY 1 BYP UNIT 102
Second Line :
City : PORTSMOUTH
State : NH
Zip : 03801-7105
Country : US
Telephone Number : 603-410-6700
Fax Number : 603-319-8308
Provider Business Practice Location Address
First Line : 296 OLD OAK ST
Second Line :
City : PEMBROKE
State : MA
Zip : 02359-1981
Country : US
Telephone Number : 339-244-3033
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 02/21/2020
Last Update Date : 11/15/2023

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Directions to “ RACHEL DECESAR PA-C” Practice Location

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