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NPI Code Detail

MEDICARE: DR. ROBERT FRANKLIN RAICHT M.D.

MEDICARE: DR. ROBERT FRANKLIN RAICHT 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
1207RG0100XGastroenterology Physician101980NY

General Provider Information

NPI Number : 1407853179
Entity Type Code : Individual
Provider Name (Legal Business Name) : DR. ROBERT FRANKLIN RAICHT M.D.
Provider Business Mailing Address
First Line : 210 ANADALE RD
Second Line :
City : SCARSDALE
State : NY
Zip : 10583-1512
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 423 E 23RD ST
Second Line : NEW YORK VA HOSPITAL
City : NEW YORK
State : NY
Zip : 10010-5011
Country : US
Telephone Number : 212-686-7500
Fax Number : 212-951-5987
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 07/07/2005
Last Update Date : 07/08/2007

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