Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 213ES0103X | Foot & Ankle Surgery | 25MD00356000 | NJ |
NPI | 1073046108 |
---|---|
Provider Name | Ms. Rachel Francine Maslow |
First Address | Montclair, NJ 07042-4044 |
Second Address | Montclair, NJ 07042-4044 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 05/04/2017 |
Last Update Date | 07/10/2020 |