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NPI Code Detail

MEDICARE: IAN RABINOWITZ

MEDICARE: IAN RABINOWITZ
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
1363LF0000XFamily Nurse Practitioner26NJ00920800NJ

General Provider Information

NPI Number : 1649836867
Entity Type Code : Individual
Provider Name (Legal Business Name) : IAN RABINOWITZ
Provider Business Mailing Address
First Line : 179 OLDHAM RD
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2202
Country : US
Telephone Number : 201-681-1400
Fax Number :
Provider Business Practice Location Address
First Line : 224 HAMBURG TPKE
Second Line :
City : WAYNE
State : NJ
Zip : 07470-2168
Country : US
Telephone Number : 973-956-3333
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2019
Last Update Date : 05/13/2019

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