Rackovsky, Ori Avraham
Rackovsky, Ori Avraham is an individual health care provider with primary practice located at 468 Parish Dr Ste 6 , Wayne NJ 07470-4671. He recently has only one registered license in Allopathic & Osteopathic Physicians / Gastroenterology, which is considered as his primary health care specialty. Rackovsky, Ori Avraham can be contacted via phone (973) 988-2100.Contact Information
Primary practice address
468 Parish Dr Ste 6
Wayne NJ 07470-4671
Phone: (973) 988-2100
Fax: (973) 952-6248
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Allopathic & Osteopathic Physicians / Gastroenterology | 207RG0100X | 25MA10376500 | New Jersey |
Profile Details
| NPI number | 1245505601 |
|---|---|
| LBN Legal business name | Rackovsky, Ori Avraham |
| Credentials | Doctor of Medicine (MD) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Mar 19th, 2012 |
| Last updated | Aug 9th, 2023 - about 2 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
Identifiers
| State | Type | Number | Issuer |
|---|---|---|---|
| All States | NPI | 1245505601 | NPPES |
| New Jersey | MEDICAID | 0633488 |
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