person
David Michael Raezer, MD
Urology Physician in Broomall, Pennsylvania
NPI 1588761639

David Michael Raezer is a Urology Physician based in Broomall, PA. David Michael Raezer practices in Broomall, PA and has the professional credentials of MD. The NPI Number for David Michael Raezer is 1588761639 and holds a License No. MD030565L (Pennsylvania).

The current practice location address for David Michael Raezer is 1999 Sproul Rd, Broomall, PA and can be reached out via phone at 610-534-6100 and via fax at 610-534-6104. You can also correspond with David Michael Raezer through the mailing address at 1999 SPROUL RD, BROOMALL, PA - 19008-3522 (mailing address contact number: 610-534-6100).

Location: 1999 Sproul Rd, Broomall, PA, 19008-3522
person
Provider Profile Details
NPI Number
1588761639
Provider Name
David Michael Raezer
Credential
MD
Provider Entity Type
Individual
Gender
Male
Address
1999 Sproul Rd, Broomall, PA, 19008-3522
Phone Number
610-534-6100
Fax Number
610-534-6104
Provider Enumeration Date
09/20/2006
Last Update Date
03/08/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
0031117000 01 PA PERSONAL CHOICE ID
0031117000 01 PA AMERIHEALTH ID
146871 01 PA BLUE SHIELD PROVIDER #
P0034748 01 PA TRICARE PROVIDER ID #
P00252734 01 PA RAILROAD MEDICARE ID
025027 01 PA BLAIR MILL ADMINISTRATORS
12459 01 PA ELDER HEALTH ID#
36158333 01 PA MULTIPLAN ID#
CL6874 01 PA RAILROAD MEDICARE GROUP #
0007379020002 05 PA
0007380240001 05 PA
0031117000 01 PA KEYSTONE HEALTH PLAN EAST
0073802406 01 PA AMERICHOICE ID #
1202110002 01 PA CIGNA
4088087 01 PA AETNA PROVIDER #
DES178 01 PA OXFORD HEALTH PLAN ID #
2327902 01 NJ NJ MEDICAID PROVIDER #
institution
Provider Business Practice Location Address Details
Address
1999 Sproul Rd
City
State
Zip
19008-3522
Phone Number
610-534-6100
Fax Number
610-534-6104
person
Provider Business Mailing Address Details
Address
1999 Sproul Rd
City
State
Zip
19008-3522
Phone Number
610-534-6100
Fax Number
610-534-6104
person
Provider's Taxonomy Details 1
Type
Allopathic & Osteopathic Physicians
Classification
Urology
Speciality
-
Taxonomy
License No.
MD030565L (Pennsylvania)
Definition
A urologist manages benign and malignant medical and surgical disorders of the genitourinary system and the adrenal gland. This specialist has comprehensive knowledge of and skills in endoscopic, percutaneous and open surgery of congenital and acquired conditions of the urinary and reproductive systems and their contiguous structures.
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