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NPI Code Detail

MEDICARE: RACHEL HERRMAN PAC

MEDICARE: RACHEL HERRMAN PAC
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
1363A00000XPhysician AssistantMA065903PA

General Provider Information

NPI Number : 1588499701
Entity Type Code : Individual
Provider Name (Legal Business Name) : RACHEL HERRMAN PAC
Provider Business Mailing Address
First Line : 1581 N 9TH ST
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-7531
Country : US
Telephone Number : 484-526-7474
Fax Number :
Provider Business Practice Location Address
First Line : 1581 N 9TH ST
Second Line :
City : STROUDSBURG
State : PA
Zip : 18360-7531
Country : US
Telephone Number : 484-526-7474
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/06/2024
Last Update Date : 09/06/2024

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Directions to “ RACHEL HERRMAN PAC” Practice Location

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