Doctor Name: | DR. ORNA RAUCHWERGER |
NPI Number: | 1083676258 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | D.P.M. |
License Number: | 25MD00287400 |
Business Practice Address: | 8056 Grenfell St Kew Gardens, NY - 114151022 |
Business Phone Number: | 7186145536 |
Business Fax Number: | |
Mailing Address: | 8056 Grenfell St, KEW GARDENS |
State: | NY |
Postal Code: | 114151022 |
Phone Number: | 7186145536 |
Fax Number: | |
NPI Enumeration Date: | 04/04/2006 |
NPI Last Update Date: | 07/03/2014 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 213ES0131X |
License Number: | 25MD00287400 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | NJ |
Taxonomy Type: | Podiatric Medicine & Surgery Service Providers |
Taxonomy Classification: | Podiatrist |
Taxonomy Specialization: | Foot Surgery |
Taxonomy Definition: |