MD David Michael Raezer, NPI 1588761639
Urology Physician in Broomall, PA, US

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NPI number: what is it?

The NPI, or National Provider Identifier, is a non-repeatable number for health care providers. The NPI always consists of 10 digits and is used for administrative and financial procedures. The NPI wa...

NPI 1588761639
NPI Entity Type Individual
Provider Name MD David Michael Raezer
Enumeration Date September 30, 2009
Last Update Date September 30, 2009
Certification Date September 30, 2009
Provider Location Address 1999 Sproul Rd, Suites 12 And 16, Broomall, PA, US
Provider Mailing Address 1999 Sproul Rd, Suites 12 And 16, Broomall, PA, US, 190083522
Gender Male
Is Sole Proprietor? Yes
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Primary Taxonomy

Taxonomy Code

208800000X

Taxonomy Name Urology Physician
Classification

Urology

Group

Allopathic & Osteopathic Physicians

License No. MD030565L
License State PA
Description A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.

Other Name

Usurg Associates Inc
Professional Name

Business Address

MD David Michael Raezer
1999 Sproul Rd
Suites 12 And 16

Broomall, PA, US

Phone: 610-534-6100
Fax: 610-534-6104

Mailing Address

MD David Michael Raezer
1999 Sproul Rd
Suites 12 And 16
Broomall, PA, US
ZIP 190083522
Phone: 610-534-6100
Fax: 610-534-6104

Other Identifiers

Identifier Identifier State Identifier Issuer Type/Code
0031117000 PA PERSONAL CHOICE ID 01
0031117000 PA AMERIHEALTH ID 01
146871 PA BLUE SHIELD PROVIDER # 01
P0034748 PA TRICARE PROVIDER ID # 01
P00252734 PA RAILROAD MEDICARE ID 01
025027 PA BLAIR MILL ADMINISTRATORS 01
12459 PA ELDER HEALTH ID# 01
36158333 PA MULTIPLAN ID# 01
CL6874 PA RAILROAD MEDICARE GROUP # 01
0007379020002 PA MEDICAID 05
0007380240001 PA MEDICAID 05
0031117000 PA KEYSTONE HEALTH PLAN EAST 01
0073802406 PA AMERICHOICE ID # 01
1202110002 PA CIGNA 01
4088087 PA AETNA PROVIDER # 01
DES178 PA OXFORD HEALTH PLAN ID # 01
2327902 NJ NJ MEDICAID PROVIDER # 01

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