Most Relevant Information
Provider Data
NPI Number: | 1003315714 |
Provider Name: | REBECCA RACHEL PLUTCHOK PA-C |
Entity Type: | Individual |
Taxonomy Code: | 363A00000X |
Specialty: | Physician Assistant |
License Number: | 25MP00430000 |
Most Important Dates
Enumeration Date: | 02/08/2018 |
Last Updated: | 07/04/2023 |
Provider Practice Location
108 HILLSIDE BLVD
LAKEWOOD
NJ
087013148
Practice Location Phone/Fax
Phone: | 7325762273 |
Fax: |
Provider Mailing Location
108 HILLSIDE BLVD
LAKEWOOD
NJ
087013148
Provider Mailing Phone/Fax
Phone: | 7325762273 |
Fax: |