Provider Information for 1730729898
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MARISSA RASKIN
Sex: Female
NPI: 1730729898
Last Updated: 2023-07-19
Certification Date: 2023-07-19
Certification Date: 2023-07-19
Details
| Name | Value | ||||||||||||
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| NPI | 1730729898 | ||||||||||||
| Enumeration Date | 2020-01-07 | ||||||||||||
| NPI Type | NPI-1 Individual | ||||||||||||
| Sole Proprietor | NO | ||||||||||||
| Status | Active | ||||||||||||
| Mailing Address | 182 CALVIN ST TOWNSHIP OF WASHINGTON, NJ 07676-5257 United States Phone: | Fax: | ||||||||||||
| Primary Practice Address | 182 CALVIN ST TOWNSHIP OF WASHINGTON, NJ 07676-5257 United States Phone: 917-414-6255 | Fax: | ||||||||||||
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