Vicki Raab Md Llc | |
1405 Highway 35 Ocean NJ 07712-3532 | |
(732) 663-1161 | |
(732) 663-1164 |
Full Name | Vicki Raab Md Llc |
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Speciality | Psychiatry & Neurology |
Location | 1405 Highway 35, Ocean, New Jersey |
Authorized Official Name and Position | Vicki Raab (MEDICAL PROVIDER) |
Authorized Official Contact | 7326631161 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Vicki Raab Md Llc 1405 Highway 35 Ocean NJ 07712-3532 Ph: (732) 663-1161 | Vicki Raab Md Llc 1405 Highway 35 Ocean NJ 07712-3532 Ph: (732) 663-1161 |
NPI Number | 1023444924 |
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Provider Enumeration Date | 09/24/2013 |
Last Update Date | 09/24/2013 |
Medicare PECOS PAC ID | 9537393806 |
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Medicare Enrollment ID | O20130930000444 |
Identifier | Type | State | Issuer |
---|---|---|---|
1023444924 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
2084N0400X | Psychiatry & Neurology - Neurology | 25MA05326100 (New Jersey) | Primary |
Provider Name | Vicki E Raab |
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Provider Type | Practitioner - Neurology |
Provider Identifiers | NPI Number: 1073600748 PECOS PAC ID: 8325021538 Enrollment ID: I20040609000978 |
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