Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
N | 207XS0106X | Orthopaedic Hand Surgeon | MA69574 | NJ |
Y | 207XS0106X | Orthopaedic Hand Surgeon | MD069522L | PA |
N | 2086S0105X | Surgery of the Hand | MA69574 | NJ |
N | 2086S0105X | Surgery of the Hand | MD069522L | PA |
N | 2251H1200X | Hand | MA69574 | NJ |
N | 2251H1200X | Hand | MD069522L | PA |
N | 225XH1200X | Occupational Therapist - Hand | MA69574 | NJ |
N | 225XH1200X | Occupational Therapist - Hand | MD069522L | PA |
NPI | 1457388050 |
---|---|
Provider Name | Dr. Mark S. Rekant |
First Address | King Of Prussia, PA 19406-2802 |
Second Address | Cherry Hill, NJ 08003-2178 |
Gender | M |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 27/06/2006 |
Last Update Date | 29/06/2020 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0867456000 | INDEPENDENCE BLUE CROSS (01) | PA |
200042331 | RAILROAD MEDICARE (01) | PA |
923282 | PENNSYLVANIA BLUE SHIELD (01) | PA |
H25839 | (02) |