Rachael Theresa Detore
Physician Assistant in Wayne, NJ. Individual provider (NPI-1).
NPI number1982154589
StatusActive
Last updated in NPPESOct 25, 2024
Details
- NPI
- 1982154589
- Entity type
- Individual (NPI-1)
- Name
- Rachael Theresa Detore
- Sex
- Female
- Sole proprietor
- Yes
- Enumeration date
- Oct 6, 2016
- Certification date
- Oct 25, 2024
- Last updated
- Oct 25, 2024
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 363A00000X | Physician Assistant | 25MP00878300 | NJ | Yes |
| 2255A2300X | Specialist/Technologist, Athletic Trainer | – | – | |
| 390200000X | Student in an Organized Health Care Education/Training Program | – | – |
Practice location
342 Hamburg Tpke Ste 202Wayne, NJ 07470-2166
Phone 973-870-0777
Mailing address
10 Wyckoff CtAsbury, NJ 08802-1091
Phone 908-537-9794
Is something wrong?
This page shows exactly what the provider filed with NPPES. Only the provider (or their surrogate) can change it, by signing in to NPPES. Our page updates within a day of their change. See how to update NPI information.
Other Physician Assistant providers in Wayne, NJ
- Sydney AbajianNPI 1386299774
- Taima Ayman Alsalahat, PA-CNPI 1912819806
- Jilinne Angbetic, PA-CNPI 1831918788
- Fiorella Galas Arthur, MHS, PA-CNPI 1962803221
- Jeanine Lee BossartNPI 1689148082
- Joshua Zachary Bueno, PA-CNPI 1982594537
- Michaela Bukoski, PA-CNPI 1992352199
- Thomas Gerald Corbo, PA-CNPI 1811501976
- Nicole Ariel DableNPI 1124983515
- Allison DeguchiNPI 1497547368
All 34 Physician Assistant providers in Wayne · All 2,130 providers in Wayne
Checking a whole list?
Paste up to 5,000 NPIs and download status, name, taxonomy, license and address for each one. Useful for credentialing, billing and pharmacy claim checks.