| Doctor Name: | MARK EDWARD RAUM |
| NPI Number: | 1033396601 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | DPT |
| License Number: | QA04262 |
| Business Practice Address: | 46 Brunswick Rd Cedar Grove, NJ - 070091402 |
| Business Phone Number: | 9732392553 |
| Business Fax Number: | 9732392553 |
| Mailing Address: | 46 Brunswick Rd, CEDAR GROVE |
| State: | NJ |
| Postal Code: | 070091402 |
| Phone Number: | 9732392553 |
| Fax Number: | 9732392553 |
| NPI Enumeration Date: | 01/26/2008 |
| NPI Last Update Date: | 01/26/2008 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251N0400X |
| License Number: | QA04262 |
| Healthcare Provider Taxonomy: (Secondary) | N |
| State: | NJ |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Neurology |
| Taxonomy Definition: | |