Individual provider · Type 1 NPI

Rachael Theresa Detore

Physician Assistant · Wayne, NJ

NPI number 1982154589 Active

Practice location

342 Hamburg Tpke Ste 202
Wayne, NJ 07470-2166

Call (973) 870-0777 Map

Mailing address

10 Wyckoff Ct
Asbury, NJ 08802-1091

Specialties and licenses

TaxonomyCodeLicense
Physician Assistant Primary 363A00000X25MP00878300 (NJ)
Athletic Trainer 2255A2300XNone listed
Student in an Organized Health Care Education/Training Program 390200000XNone listed

Physician Assistant: A physician assistant is a person who has successfully completed an accredited education program for physician assistant, is licensed by the state and is practicing within the scope of that license. Physician assistants are formally trained to perform many of the routine, time-consuming tasks a physician can do. In some states, they may prescribe medications. They take medical histories, perform physical exams, orde…

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About NPI 1982154589

Rachael Theresa Detore's National Provider Identifier is 1982154589, issued on Oct 6, 2016. The primary taxonomy on file is Physician Assistant (363A00000X), and the practice location is in Wayne, NJ. The record was last updated on Oct 25, 2024.