Joshua H Rassen Md Inc | |
181 Andrieux St Ste 202 Sonoma CA 95476-6920 | |
(707) 933-0500 | |
Not Available |
Full Name | Joshua H Rassen Md Inc |
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Speciality | Internal Medicine |
Location | 181 Andrieux St Ste 202, Sonoma, California |
Authorized Official Name and Position | Joshua Herbert Rassen (PRESIDENT) |
Authorized Official Contact | 7079353759 |
Accepts Medicare Insurance | Yes. This clinic participates in medicare program and accept medicare insurance. |
Mailing Address | Practice Location Address |
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Joshua H Rassen Md Inc 1545 N Castle Rd Sonoma CA 95476-4864 Ph: (415) 971-3642 | Joshua H Rassen Md Inc 181 Andrieux St Ste 202 Sonoma CA 95476-6920 Ph: (707) 933-0500 |
NPI Number | 1619512548 |
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Provider Enumeration Date | 11/14/2019 |
Last Update Date | 11/14/2019 |
Medicare PECOS PAC ID | 8022445147 |
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Medicare Enrollment ID | O20200228002196 |
Identifier | Type | State | Issuer |
---|---|---|---|
1619512548 | NPI | - | NPPES |
Taxonomy | Type | License (State) | Status |
---|---|---|---|
207R00000X | Internal Medicine | (* (Not Available)) | Primary |
Provider Name | Joshua Herbert Rassen |
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Provider Type | Practitioner - Internal Medicine |
Provider Identifiers | NPI Number: 1902885510 PECOS PAC ID: 7012975501 Enrollment ID: I20041230000239 |
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