MARY SUSAN RAE PA-C NPI 1629176946

NPI Information

NPI: 1629176946
Provider Name: MARY SUSAN RAE, PA-C
Classification: Physician Assistant - 363AS0400X
Entity Type: Individual

Specialization: Surgical

Address:
700 2ND ST NE
WASHINGTON, DC
ZIP 20002
Phone: (202) 346-3375
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Mary Susan Rae, PA-C is a surgical physician assistant in Washington, DC. Mary Susan Rae, PA-C NPI is 1629176946. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a female.

The provider's business location address is:

700 2ND ST NE
WASHINGTON, DC
ZIP 20002-100
Phone: (202) 346-3375

The enumeration date for this NPI number is 9/20/2006 and was last updated on 12/30/2011.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.	Taxonomy Code	Taxonomy Clasification	Taxonomy Specialization	License Number	License State	Primary
1	363AS0400X	Physician Assistant	Surgical	C04613	MARYLAND	No
2	363AS0400X	Physician Assistant	Surgical	PA030732	DISTRICT OF COLUMBIA	Yes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 4/28/2024

NPI Synchronization or Removal

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